Savings Analysis Form  

Our participating nonprofits saved an average of $30,000 last year. Complete this form to see if your organization can too!
(Minimum 15 full-time employees required.) 

 
 

 
   
   
First Name*  
 
 
Last Name*  
 
 
Job Title*  
 
 
Organization Name*  
 
 
Email*  
 
 
Work Phone*  
 
 
   
   

 
   
   
How does your organization currently pay for unemployment?*  
 
 
State*  
 
 
Number of employees*  
 
 
Annual Payroll*  
 
 

This figure should be the sum of your last four quarters of payroll.