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*  
Work Phone*  

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

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