Invoice Request Form

Please complete the form below if you are ready to make a purchase.
Our billing department will send an invoice via email which can be paid by ACH, Credit Card or Check.

Alternatively, contact our support team and we’re glad to intake your information and assist with the process:

Monday – Friday | 9:00am – 5:00pm EST
Phone: 888-978-8310

Legal Tax Name
Please include Suite, City, State, Zip
Please enter your coupon code provided by your benefits broker if applicable.
Our reporting package options are based on your company structure. If you have multiple EINs to report, the IRS requires you aggregate these companies and report as a control group.
Our reporting package pricing is based on the total number of 1095 forms to be filed. If you have multiple EINs to report, we use the largest control group member and then discount the others.