Employer of Record Requisition Form

The Workwell North America payrolling team ensures the requisition process is simple and seamless. Once the form is submitted, we’ll begin the onboarding process.

EOR Requisition Form

New EOR Requisition form submission.

You

Worker's Manager

Worker

Worker's Assignment Payrolling

Assignment Type(Required)

Worker's Assignment Address

Check this box if the worker will be working remotely or from home and enter their home address.
Remote Work

Worker's Assignment Details

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Need less than 30 hours per week?(Required)
Driving or travel?(Required)
Will the Worker lift more than 20LBs? Work more than 2 feet off the ground? Use non-standard office equipment? Drive any motorized vehicles?(Required)

Job Description

You can either type in the message box below, or upload a file.
Accepted file types: pdf, doc, docx, txt, Max. file size: 64 MB.

Additional Comments

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