humanelements.us Open in urlscan Pro
35.208.71.147  Public Scan

Form analysis
2 forms found in the DOM

POST /#gf_11

<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_11" id="gform_11" class="mobile_form" action="/#gf_11" data-hs-cf-bound="true"> <input type="hidden" class="gforms-pum"
    value="{&quot;closepopup&quot;:false,&quot;closedelay&quot;:0,&quot;openpopup&quot;:false,&quot;openpopup_id&quot;:0}">
  <div class="gform_body">
    <ul id="gform_fields_11" class="gform_fields top_label form_sublabel_below description_below">
      <li id="field_11_2" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label gfield_label_before_complex" for="input_11_2_3">Name<span
            class="gfield_required">*</span></label>
        <div class="ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gfield_trigger_change" id="input_11_2"> <span id="input_11_2_3_container" class="name_first">
            <input type="text" name="input_2.3" id="input_11_2_3" value="" aria-label="First name" tabindex="0" aria-required="true" aria-invalid="false" placeholder="First name"> <label for="input_11_2_3">First</label> </span> <span
            id="input_11_2_6_container" class="name_last"> <input type="text" name="input_2.6" id="input_11_2_6" value="" aria-label="Last name" tabindex="0" aria-required="true" aria-invalid="false" placeholder="Last Name"> <label
              for="input_11_2_6">Last</label> </span></div>
      </li>
      <li id="field_11_4" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_11_4">Email<span class="gfield_required">*</span></label>
        <div class="ginput_container ginput_container_email"> <input name="input_4" id="input_11_4" type="email" value="" class="large" tabindex="0" placeholder="Email" aria-required="true" aria-invalid="false"></div>
      </li>
      <li id="field_11_5" class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_11_5">Phone<span class="gfield_required">*</span></label>
        <div class="ginput_container ginput_container_phone"><input name="input_5" id="input_11_5" type="tel" value="" class="large" tabindex="0" placeholder="Phone" aria-required="true" aria-invalid="false"></div>
      </li>
      <li id="field_11_3" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_11_3">Company Name<span class="gfield_required">*</span></label>
        <div class="ginput_container ginput_container_text"><input name="input_3" id="input_11_3" type="text" value="" class="large" tabindex="0" placeholder="Company name" aria-required="true" aria-invalid="false"></div>
      </li>
      <li id="field_11_7" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label gfield_label_before_complex" for="input_11_7_3">Location<span
            class="gfield_required">*</span></label>
        <div class="ginput_complex ginput_container has_city has_state ginput_container_address gfield_trigger_change" id="input_11_7"> <span class="ginput_left address_city" id="input_11_7_3_container"> <input type="text" name="input_7.3"
              id="input_11_7_3" value="" tabindex="0" placeholder="City"> <label for="input_11_7_3" id="input_11_7_3_label">City</label> </span><span class="ginput_right address_state" id="input_11_7_4_container"> <input type="text" name="input_7.4"
              id="input_11_7_4" value="" tabindex="0" placeholder="State"> <label for="input_11_7_4" id="input_11_7_4_label">State</label> </span><input type="hidden" class="gform_hidden" name="input_7.6" id="input_11_7_6" value="">
          <div class="gf_clear gf_clear_complex"></div>
        </div>
      </li>
      <li id="field_11_8" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_11_8">Number of Employees<span class="gfield_required">*</span></label>
        <div class="ginput_container ginput_container_select"><select name="input_8" id="input_11_8" class="medium gfield_select" tabindex="0" aria-required="true" aria-invalid="false">
            <option value="" selected="selected" class="gf_placeholder"># of employees</option>
            <option value="1 - 10">1 - 10</option>
            <option value="11 - 50">11 - 50</option>
            <option value="more than 50">more than 50</option>
          </select></div>
      </li>
      <li id="field_11_9" class="gfield show_label gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label">Services you are most interested in<span
            class="gfield_required">*</span></label>
        <div class="ginput_container ginput_container_checkbox">
          <ul class="gfield_checkbox" id="input_11_9">
            <li class="gchoice_11_9_1"> <input name="input_9.1" type="checkbox" value="Payroll" id="choice_11_9_1" tabindex="0"> <label for="choice_11_9_1" id="label_11_9_1">Payroll</label></li>
            <li class="gchoice_11_9_2"> <input name="input_9.2" type="checkbox" value="Time Tracking/Management System" id="choice_11_9_2" tabindex="0"> <label for="choice_11_9_2" id="label_11_9_2">Time Tracking/Management System</label></li>
            <li class="gchoice_11_9_3"> <input name="input_9.3" type="checkbox" value="Scheduling" id="choice_11_9_3" tabindex="0"> <label for="choice_11_9_3" id="label_11_9_3">Scheduling</label></li>
            <li class="gchoice_11_9_4"> <input name="input_9.4" type="checkbox" value="HR Automation/HRIS" id="choice_11_9_4" tabindex="0"> <label for="choice_11_9_4" id="label_11_9_4">HR Automation/HRIS</label></li>
            <li class="gchoice_11_9_5"> <input name="input_9.5" type="checkbox" value="Benefits Enrollment" id="choice_11_9_5" tabindex="0"> <label for="choice_11_9_5" id="label_11_9_5">Benefits Enrollment</label></li>
            <li class="gchoice_11_9_6"> <input name="input_9.6" type="checkbox" value="Carrier Connection" id="choice_11_9_6" tabindex="0"> <label for="choice_11_9_6" id="label_11_9_6">Carrier Connection</label></li>
            <li class="gchoice_11_9_7"> <input name="input_9.7" type="checkbox" value="HR Compliance" id="choice_11_9_7" tabindex="0"> <label for="choice_11_9_7" id="label_11_9_7">HR Compliance</label></li>
            <li class="gchoice_11_9_8"> <input name="input_9.8" type="checkbox" value="HR Outsourcing" id="choice_11_9_8" tabindex="0"> <label for="choice_11_9_8" id="label_11_9_8">HR Outsourcing</label></li>
            <li class="gchoice_11_9_9"> <input name="input_9.9" type="checkbox" value="Other" id="choice_11_9_9" tabindex="0"> <label for="choice_11_9_9" id="label_11_9_9">Other</label></li>
          </ul>
        </div>
      </li>
      <li id="field_11_6" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_11_6">Additional information</label>
        <div class="ginput_container ginput_container_textarea"><textarea name="input_6" id="input_11_6" class="textarea medium" tabindex="0" placeholder="Additional information" aria-invalid="false" rows="10" cols="50"></textarea></div>
      </li>
      <li id="field_11_10" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_11_10">What is your time frame for implementation?<span
            class="gfield_required">*</span></label>
        <div class="ginput_container ginput_container_select"><select name="input_10" id="input_11_10" class="medium gfield_select" tabindex="0" aria-required="true" aria-invalid="false">
            <option value="" selected="selected" class="gf_placeholder">Time frame to implement</option>
            <option value="Within 30 days">Within 30 days</option>
            <option value="1-3 Months">1-3 Months</option>
            <option value="3-6 Months">3-6 Months</option>
            <option value="6-9 Months">6-9 Months</option>
            <option value="9-12 Months">9-12 Months</option>
          </select></div>
      </li>
      <li id="field_11_11" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_11_11">Best time to contact you<span
            class="gfield_required">*</span></label>
        <div class="ginput_container ginput_container_text"><input name="input_11" id="input_11_11" type="text" value="" class="medium" tabindex="0" placeholder="Best time to reach you" aria-required="true" aria-invalid="false"></div>
      </li>
    </ul>
  </div>
  <div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_11" class="gform_button button" value="Submit" tabindex="0"
      onclick="if(window[&quot;gf_submitting_11&quot;]){return false;}  if( !jQuery(&quot;#gform_11&quot;)[0].checkValidity || jQuery(&quot;#gform_11&quot;)[0].checkValidity()){window[&quot;gf_submitting_11&quot;]=true;}  "
      onkeypress="if( event.keyCode == 13 ){ if(window[&quot;gf_submitting_11&quot;]){return false;} if( !jQuery(&quot;#gform_11&quot;)[0].checkValidity || jQuery(&quot;#gform_11&quot;)[0].checkValidity()){window[&quot;gf_submitting_11&quot;]=true;}  jQuery(&quot;#gform_11&quot;).trigger(&quot;submit&quot;,[true]); }">
    <input type="hidden" name="gform_ajax" value="form_id=11&amp;title=&amp;description=&amp;tabindex=1"> <input type="hidden" class="gform_hidden" name="is_submit_11" value="1"> <input type="hidden" class="gform_hidden" name="gform_submit"
      value="11"> <input type="hidden" class="gform_hidden" name="gform_unique_id" value=""> <input type="hidden" class="gform_hidden" name="state_11" value="WyJbXSIsIjQwYzVmMDBhOGRlNTFkYjE4MDhlZDdkMjc1OTEyNTEwIl0="> <input type="hidden"
      class="gform_hidden" name="gform_target_page_number_11" id="gform_target_page_number_11" value="0"> <input type="hidden" class="gform_hidden" name="gform_source_page_number_11" id="gform_source_page_number_11" value="1"> <input type="hidden"
      name="gform_field_values" value=""></div><input type="hidden" name="pum_form_popup_id" value="1279">
</form>

POST /#gf_10

<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_10" id="gform_10" action="/#gf_10" data-hs-cf-bound="true"> <input type="hidden" class="gforms-pum"
    value="{&quot;closepopup&quot;:false,&quot;closedelay&quot;:0,&quot;openpopup&quot;:false,&quot;openpopup_id&quot;:0}">
  <div class="gform_body">
    <ul id="gform_fields_10" class="gform_fields top_label form_sublabel_below description_below">
      <li id="field_10_1" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_10_1">Legal Name of Business<span class="gfield_required">*</span></label>
        <div class="ginput_container ginput_container_text"><input name="input_1" id="input_10_1" type="text" value="" class="medium" tabindex="0" aria-required="true" aria-invalid="false"></div>
      </li>
      <li id="field_10_2" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_10_2">Federal Tax ID Number<span class="gfield_required">*</span></label>
        <div class="ginput_container ginput_container_text"><input name="input_2" id="input_10_2" type="text" value="" class="medium" tabindex="0" aria-required="true" aria-invalid="false"></div>
      </li>
      <li id="field_10_3" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_10_3">Number of Employees<span class="gfield_required">*</span></label>
        <div class="ginput_container ginput_container_text"><input name="input_3" id="input_10_3" type="text" value="" class="medium" tabindex="0" aria-required="true" aria-invalid="false"></div>
      </li>
      <li id="field_10_4" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label gfield_label_before_complex" for="input_10_4_1">Address<span
            class="gfield_required">*</span></label>
        <div class="ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gfield_trigger_change" id="input_10_4"> <span class="ginput_full address_line_1" id="input_10_4_1_container">
            <input type="text" name="input_4.1" id="input_10_4_1" value="" tabindex="0"> <label for="input_10_4_1" id="input_10_4_1_label">Street Address</label> </span><span class="ginput_full address_line_2" id="input_10_4_2_container"> <input
              type="text" name="input_4.2" id="input_10_4_2" value="" tabindex="0"> <label for="input_10_4_2" id="input_10_4_2_label">Street Address Line 2</label> </span><span class="ginput_left address_city" id="input_10_4_3_container"> <input
              type="text" name="input_4.3" id="input_10_4_3" value="" tabindex="0"> <label for="input_10_4_3" id="input_10_4_3_label">City</label> </span><span class="ginput_right address_state" id="input_10_4_4_container"> <input type="text"
              name="input_4.4" id="input_10_4_4" value="" tabindex="0"> <label for="input_10_4_4" id="input_10_4_4_label">Region</label> </span><span class="ginput_left address_zip" id="input_10_4_5_container"> <input type="text" name="input_4.5"
              id="input_10_4_5" value="" tabindex="0"> <label for="input_10_4_5" id="input_10_4_5_label">Postal / Zip Code</label> </span><span class="ginput_right address_country" id="input_10_4_6_container"> <select name="input_4.6"
              id="input_10_4_6" tabindex="0">
              <option value=""></option>
              <option value="Afghanistan">Afghanistan</option>
              <option value="Albania">Albania</option>
              <option value="Algeria">Algeria</option>
              <option value="American Samoa">American Samoa</option>
              <option value="Andorra">Andorra</option>
              <option value="Angola">Angola</option>
              <option value="Antigua and Barbuda">Antigua and Barbuda</option>
              <option value="Argentina">Argentina</option>
              <option value="Armenia">Armenia</option>
              <option value="Australia">Australia</option>
              <option value="Austria">Austria</option>
              <option value="Azerbaijan">Azerbaijan</option>
              <option value="Bahamas">Bahamas</option>
              <option value="Bahrain">Bahrain</option>
              <option value="Bangladesh">Bangladesh</option>
              <option value="Barbados">Barbados</option>
              <option value="Belarus">Belarus</option>
              <option value="Belgium">Belgium</option>
              <option value="Belize">Belize</option>
              <option value="Benin">Benin</option>
              <option value="Bermuda">Bermuda</option>
              <option value="Bhutan">Bhutan</option>
              <option value="Bolivia">Bolivia</option>
              <option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
              <option value="Botswana">Botswana</option>
              <option value="Brazil">Brazil</option>
              <option value="Brunei">Brunei</option>
              <option value="Bulgaria">Bulgaria</option>
              <option value="Burkina Faso">Burkina Faso</option>
              <option value="Burundi">Burundi</option>
              <option value="Cambodia">Cambodia</option>
              <option value="Cameroon">Cameroon</option>
              <option value="Canada">Canada</option>
              <option value="Cape Verde">Cape Verde</option>
              <option value="Cayman Islands">Cayman Islands</option>
              <option value="Central African Republic">Central African Republic</option>
              <option value="Chad">Chad</option>
              <option value="Chile">Chile</option>
              <option value="China">China</option>
              <option value="Colombia">Colombia</option>
              <option value="Comoros">Comoros</option>
              <option value="Congo, Democratic Republic of the">Congo, Democratic Republic of the</option>
              <option value="Congo, Republic of the">Congo, Republic of the</option>
              <option value="Costa Rica">Costa Rica</option>
              <option value="Côte d'Ivoire">Côte d'Ivoire</option>
              <option value="Croatia">Croatia</option>
              <option value="Cuba">Cuba</option>
              <option value="Curaçao">Curaçao</option>
              <option value="Cyprus">Cyprus</option>
              <option value="Czech Republic">Czech Republic</option>
              <option value="Denmark">Denmark</option>
              <option value="Djibouti">Djibouti</option>
              <option value="Dominica">Dominica</option>
              <option value="Dominican Republic">Dominican Republic</option>
              <option value="East Timor">East Timor</option>
              <option value="Ecuador">Ecuador</option>
              <option value="Egypt">Egypt</option>
              <option value="El Salvador">El Salvador</option>
              <option value="Equatorial Guinea">Equatorial Guinea</option>
              <option value="Eritrea">Eritrea</option>
              <option value="Estonia">Estonia</option>
              <option value="Ethiopia">Ethiopia</option>
              <option value="Faroe Islands">Faroe Islands</option>
              <option value="Fiji">Fiji</option>
              <option value="Finland">Finland</option>
              <option value="France">France</option>
              <option value="French Polynesia">French Polynesia</option>
              <option value="Gabon">Gabon</option>
              <option value="Gambia">Gambia</option>
              <option value="Georgia">Georgia</option>
              <option value="Germany">Germany</option>
              <option value="Ghana">Ghana</option>
              <option value="Greece">Greece</option>
              <option value="Greenland">Greenland</option>
              <option value="Grenada">Grenada</option>
              <option value="Guam">Guam</option>
              <option value="Guatemala">Guatemala</option>
              <option value="Guinea">Guinea</option>
              <option value="Guinea-Bissau">Guinea-Bissau</option>
              <option value="Guyana">Guyana</option>
              <option value="Haiti">Haiti</option>
              <option value="Honduras">Honduras</option>
              <option value="Hong Kong">Hong Kong</option>
              <option value="Hungary">Hungary</option>
              <option value="Iceland">Iceland</option>
              <option value="India">India</option>
              <option value="Indonesia">Indonesia</option>
              <option value="Iran">Iran</option>
              <option value="Iraq">Iraq</option>
              <option value="Ireland">Ireland</option>
              <option value="Israel">Israel</option>
              <option value="Italy">Italy</option>
              <option value="Jamaica">Jamaica</option>
              <option value="Japan">Japan</option>
              <option value="Jordan">Jordan</option>
              <option value="Kazakhstan">Kazakhstan</option>
              <option value="Kenya">Kenya</option>
              <option value="Kiribati">Kiribati</option>
              <option value="North Korea">North Korea</option>
              <option value="South Korea">South Korea</option>
              <option value="Kosovo">Kosovo</option>
              <option value="Kuwait">Kuwait</option>
              <option value="Kyrgyzstan">Kyrgyzstan</option>
              <option value="Laos">Laos</option>
              <option value="Latvia">Latvia</option>
              <option value="Lebanon">Lebanon</option>
              <option value="Lesotho">Lesotho</option>
              <option value="Liberia">Liberia</option>
              <option value="Libya">Libya</option>
              <option value="Liechtenstein">Liechtenstein</option>
              <option value="Lithuania">Lithuania</option>
              <option value="Luxembourg">Luxembourg</option>
              <option value="Macedonia">Macedonia</option>
              <option value="Madagascar">Madagascar</option>
              <option value="Malawi">Malawi</option>
              <option value="Malaysia">Malaysia</option>
              <option value="Maldives">Maldives</option>
              <option value="Mali">Mali</option>
              <option value="Malta">Malta</option>
              <option value="Marshall Islands">Marshall Islands</option>
              <option value="Mauritania">Mauritania</option>
              <option value="Mauritius">Mauritius</option>
              <option value="Mexico">Mexico</option>
              <option value="Micronesia">Micronesia</option>
              <option value="Moldova">Moldova</option>
              <option value="Monaco">Monaco</option>
              <option value="Mongolia">Mongolia</option>
              <option value="Montenegro">Montenegro</option>
              <option value="Morocco">Morocco</option>
              <option value="Mozambique">Mozambique</option>
              <option value="Myanmar">Myanmar</option>
              <option value="Namibia">Namibia</option>
              <option value="Nauru">Nauru</option>
              <option value="Nepal">Nepal</option>
              <option value="Netherlands">Netherlands</option>
              <option value="New Zealand">New Zealand</option>
              <option value="Nicaragua">Nicaragua</option>
              <option value="Niger">Niger</option>
              <option value="Nigeria">Nigeria</option>
              <option value="Northern Mariana Islands">Northern Mariana Islands</option>
              <option value="Norway">Norway</option>
              <option value="Oman">Oman</option>
              <option value="Pakistan">Pakistan</option>
              <option value="Palau">Palau</option>
              <option value="Palestine, State of">Palestine, State of</option>
              <option value="Panama">Panama</option>
              <option value="Papua New Guinea">Papua New Guinea</option>
              <option value="Paraguay">Paraguay</option>
              <option value="Peru">Peru</option>
              <option value="Philippines">Philippines</option>
              <option value="Poland">Poland</option>
              <option value="Portugal">Portugal</option>
              <option value="Puerto Rico">Puerto Rico</option>
              <option value="Qatar">Qatar</option>
              <option value="Romania">Romania</option>
              <option value="Russia">Russia</option>
              <option value="Rwanda">Rwanda</option>
              <option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
              <option value="Saint Lucia">Saint Lucia</option>
              <option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
              <option value="Samoa">Samoa</option>
              <option value="San Marino">San Marino</option>
              <option value="Sao Tome and Principe">Sao Tome and Principe</option>
              <option value="Saudi Arabia">Saudi Arabia</option>
              <option value="Senegal">Senegal</option>
              <option value="Serbia">Serbia</option>
              <option value="Seychelles">Seychelles</option>
              <option value="Sierra Leone">Sierra Leone</option>
              <option value="Singapore">Singapore</option>
              <option value="Sint Maarten">Sint Maarten</option>
              <option value="Slovakia">Slovakia</option>
              <option value="Slovenia">Slovenia</option>
              <option value="Solomon Islands">Solomon Islands</option>
              <option value="Somalia">Somalia</option>
              <option value="South Africa">South Africa</option>
              <option value="Spain">Spain</option>
              <option value="Sri Lanka">Sri Lanka</option>
              <option value="Sudan">Sudan</option>
              <option value="Sudan, South">Sudan, South</option>
              <option value="Suriname">Suriname</option>
              <option value="Swaziland">Swaziland</option>
              <option value="Sweden">Sweden</option>
              <option value="Switzerland">Switzerland</option>
              <option value="Syria">Syria</option>
              <option value="Taiwan">Taiwan</option>
              <option value="Tajikistan">Tajikistan</option>
              <option value="Tanzania">Tanzania</option>
              <option value="Thailand">Thailand</option>
              <option value="Togo">Togo</option>
              <option value="Tonga">Tonga</option>
              <option value="Trinidad and Tobago">Trinidad and Tobago</option>
              <option value="Tunisia">Tunisia</option>
              <option value="Turkey">Turkey</option>
              <option value="Turkmenistan">Turkmenistan</option>
              <option value="Tuvalu">Tuvalu</option>
              <option value="Uganda">Uganda</option>
              <option value="Ukraine">Ukraine</option>
              <option value="United Arab Emirates">United Arab Emirates</option>
              <option value="United Kingdom">United Kingdom</option>
              <option value="United States" selected="selected">United States</option>
              <option value="Uruguay">Uruguay</option>
              <option value="Uzbekistan">Uzbekistan</option>
              <option value="Vanuatu">Vanuatu</option>
              <option value="Vatican City">Vatican City</option>
              <option value="Venezuela">Venezuela</option>
              <option value="Vietnam">Vietnam</option>
              <option value="Virgin Islands, British">Virgin Islands, British</option>
              <option value="Virgin Islands, U.S.">Virgin Islands, U.S.</option>
              <option value="Yemen">Yemen</option>
              <option value="Zambia">Zambia</option>
              <option value="Zimbabwe">Zimbabwe</option>
            </select> <label for="input_10_4_6" id="input_10_4_6_label">Country</label> </span>
          <div class="gf_clear gf_clear_complex"></div>
        </div>
      </li>
      <li id="field_10_5" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_10_5">Type of Business/Description of Operations</label>
        <div class="ginput_container ginput_container_textarea"><textarea name="input_5" id="input_10_5" class="textarea medium" tabindex="0" aria-invalid="false" rows="10" cols="50"></textarea></div>
      </li>
      <li id="field_10_6" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label gfield_label_before_complex" for="input_10_6_3">Contact Name</label>
        <div class="ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gfield_trigger_change" id="input_10_6"> <span id="input_10_6_3_container" class="name_first">
            <input type="text" name="input_6.3" id="input_10_6_3" value="" aria-label="First name" tabindex="0" aria-invalid="false"> <label for="input_10_6_3">First</label> </span> <span id="input_10_6_6_container" class="name_last"> <input
              type="text" name="input_6.6" id="input_10_6_6" value="" aria-label="Last name" tabindex="0" aria-invalid="false"> <label for="input_10_6_6">Last</label> </span></div>
      </li>
      <li id="field_10_7" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_10_7">Contact Phone Number</label>
        <div class="ginput_container ginput_container_phone"><input name="input_7" id="input_10_7" type="tel" value="" class="medium" tabindex="0" aria-invalid="false"></div>
      </li>
      <li id="field_10_8" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_10_8">Contact Email</label>
        <div class="ginput_container ginput_container_email"> <input name="input_8" id="input_10_8" type="email" value="" class="medium" tabindex="0" aria-invalid="false"></div>
      </li>
      <li id="field_10_10" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_10" id="input_10_10" type="hidden" class="gform_hidden" aria-invalid="false" value="Human Elements"></li>
      <li id="field_10_11" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_11" id="input_10_11" type="hidden" class="gform_hidden" aria-invalid="false" value="Sam Tanios"></li>
      <li id="field_10_12" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_12" id="input_10_12" type="hidden" class="gform_hidden" aria-invalid="false" value="(312) 344-3801"></li>
      <li id="field_10_14" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label">The Company Is:</label>
        <div class="ginput_container ginput_container_radio">
          <ul class="gfield_radio" id="input_10_14">
            <li class="gchoice_10_14_0"><input name="input_14" type="radio" value="Existing Client" id="choice_10_14_0" tabindex="0"><label for="choice_10_14_0" id="label_10_14_0">Existing Client</label></li>
            <li class="gchoice_10_14_1"><input name="input_14" type="radio" value="Prospect" id="choice_10_14_1" tabindex="0"><label for="choice_10_14_1" id="label_10_14_1">Prospect</label></li>
          </ul>
        </div>
      </li>
      <li id="field_10_15" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_10_15">Payroll Frequency</label>
        <div class="ginput_container ginput_container_select"><select name="input_15" id="input_10_15" class="medium gfield_select" tabindex="0" aria-invalid="false">
            <option value="Weekly">Weekly</option>
            <option value="Bi-weekly">Bi-weekly</option>
            <option value="Semi-Monthly">Semi-Monthly</option>
            <option value="Monthly">Monthly</option>
          </select></div>
      </li>
      <li id="field_10_16" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_10_16">First Check Date</label>
        <div class="ginput_container ginput_container_date"> <input name="input_16" id="input_10_16" type="text" value="" class="datepicker medium mdy datepicker_no_icon hasDatepicker" tabindex="0"></div> <input type="hidden"
          id="gforms_calendar_icon_input_10_16" class="gform_hidden" value="https://humanelements.us/wp-content/plugins/gravityforms/images/calendar.png">
      </li>
    </ul>
  </div>
  <div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_10" class="gform_button button" value="Submit" tabindex="0"
      onclick="if(window[&quot;gf_submitting_10&quot;]){return false;}  if( !jQuery(&quot;#gform_10&quot;)[0].checkValidity || jQuery(&quot;#gform_10&quot;)[0].checkValidity()){window[&quot;gf_submitting_10&quot;]=true;}  "
      onkeypress="if( event.keyCode == 13 ){ if(window[&quot;gf_submitting_10&quot;]){return false;} if( !jQuery(&quot;#gform_10&quot;)[0].checkValidity || jQuery(&quot;#gform_10&quot;)[0].checkValidity()){window[&quot;gf_submitting_10&quot;]=true;}  jQuery(&quot;#gform_10&quot;).trigger(&quot;submit&quot;,[true]); }">
    <input type="hidden" name="gform_ajax" value="form_id=10&amp;title=&amp;description=&amp;tabindex=1"> <input type="hidden" class="gform_hidden" name="is_submit_10" value="1"> <input type="hidden" class="gform_hidden" name="gform_submit"
      value="10"> <input type="hidden" class="gform_hidden" name="gform_unique_id" value=""> <input type="hidden" class="gform_hidden" name="state_10" value="WyJbXSIsIjQwYzVmMDBhOGRlNTFkYjE4MDhlZDdkMjc1OTEyNTEwIl0="> <input type="hidden"
      class="gform_hidden" name="gform_target_page_number_10" id="gform_target_page_number_10" value="0"> <input type="hidden" class="gform_hidden" name="gform_source_page_number_10" id="gform_source_page_number_10" value="1"> <input type="hidden"
      name="gform_field_values" value=""></div><input type="hidden" name="pum_form_popup_id" value="1406">
</form>

Text Content

 * Blog
 * Whitepapers
 * Support
 * Login

 * Services
   * Payroll Administration
   * Time and Scheduling
   * Human Capital Management (HCM)
   * HR Operations
   * People Strategy
   * Insurance Services
 * About Us
   * Join Our Newsletter
 * Partner With Us
 * Marketplace
 * Schedule a Call

Select Page
 * Services
   * Payroll Administration
   * Time and Scheduling
   * Human Capital Management (HCM)
   * HR Operations
   * People Strategy
   * Insurance Services
 * About Us
   * Join Our Newsletter
 * Partner With Us
 * Marketplace
 * Schedule a Call
 * Blog
 * Whitepapers
 * Support
 * Login


GREAT BUSINESSES ARE BUILT WITH GREAT EMPLOYEES



Statistics continue to prove that having highly engaged employees is great for
business.

Schedule A CallGet A QuoteSchedule A Demo



o


BUSINESSES THAT FOCUS ON THEIR EMPLOYEES SEE GREAT RESULTS


 * Increased Employee Safety
 * Better Employee Health
 * Happier Employees
 * Greater Employee Satisfaction
 * Lower Absenteeism
 * Higher Retention
 * Greater Employee Loyalty
 * Better Customer Service
 * Better Quality
 * Greater Productivity
 * Higher Sales
 * Higher Profitability

At Human Elements we take a holistic view of your business and apply our
knowledge and expertise to get the most out of your greatest asset!

Schedule A CallGet A QuoteSchedule A Demo




WE ARE HR PEOPLE WHO DO PAYROLL, NOT THE OTHER WAY AROUND



Great employees are made by building trust and cultivating relationships. No one
knows this better than HR people. By bringing together our Best In Class HR
Technology and Superior HR Advisors, we can help you build a Great Business by
building Great Employees. Our unique approach brings the best of both.

OUR TECHNOLOGY

 * Cloud and Mobile Platform
 * Payroll Administration
 * Time and Attendance
 * Human Capital Management System
   * Recruitment
   * Applicant Tracking
   * Onboarding
   * Employee Self-Service
   * Benefits Enrollment/Management
   * Leave Management
   * Compensation Management
   * Performance Management
   * Scheduling
 * Carrier Connectivity
 * COBRA Administration
 * Real-Time Data Analytics



OUR ADVISORY

 * HR Audits and Reviews
 * HR Support Services
 * Compliance
 * Best Practices Guidance
 * Employment Practices
 * Outsourcing
 * Training and Development
 * Culture and Diversity
 * Workplace Safety
 * Talent Management
 * Dedicated Team
 * Employee Support
 * Manager Support
 * Strategic Services
 * ACA Management

BENEFITS TO YOU

Here are just a few of the many benefits of our unique approach:

 * Gain real-time visibility and insights in a single source
 * Streamline and automate disparate business processes
 * Accommodate future growth across multiple locations
 * Engage local, mobile and remote employees with cloud access
 * Create consistent employee experience




PAYROLL, SIMPLIFIED.



Automate and simplify the way you process payroll with our easy-to-use platform.
Deliver perfect paychecks while providing the accuracy and in-depth reporting
your business needs with our fully-integrated, cloud-based suite of payroll
tools. Cut out unnecessary time and inaccuracies and become the efficient
business your employees need.

FLEXIBILITY & CONTROL

Eliminate the hassle of working with a service bureau and process payroll on a
schedule that works for you and your employees.

CUSTOMIZED REPORTS

With Human Elements, access payroll data how and when you need it with our
highly customizable, intuitive reporting capabilities.

MASS EDIT FEATURE

Keep your payroll up-to-date and make sure payments reflect the latest
information with tools that help you manage all important payroll tasks.


FLEXIBLE, FULL-SERVICE PAYROLL



Human Elements offers all the online features you want, and those you didn’t
know you needed, including:



ONLINE EMPLOYEE SETUP



UNLIMITED BONUS AND OFF-CYCLE PAYROLLS



INTEGRATED PRE-TAX BENEFITS



PAPERLESS EMPLOYEE ONBOARDING



DIGITAL PAYSTUBS



MULTIPLE SCHEDULES AND PAY RATES



UNLIMITED PAYROLL RUNS



DIRECT DEPOSITS



W-2S AND 1099S



ALL 50 STATES, PLUS FEDERAL AND LOCAL TAXES

Schedule A CallGet A QuoteSchedule A Demo

Join Our Newsletter

CONTACT US

(312) 344-3801 info@humanelements.com 27 N. Wacker Dr.
Chicago, IL 60602

SITE LINKS

 * Privacy Policy
 * About Us
 * Contact Us

© HumanElements 2017 | All Rights Reserved

×


SCHEDULE A DEMO





×

Request a Quote



 * Name*
   First Last
 * Email*
   
 * Phone*
   
 * Company Name*
   
 * Location*
   City State
   
 * Number of Employees*
   # of employees1 - 1011 - 50more than 50
 * Services you are most interested in*
    * Payroll
    * Time Tracking/Management System
    * Scheduling
    * HR Automation/HRIS
    * Benefits Enrollment
    * Carrier Connection
    * HR Compliance
    * HR Outsourcing
    * Other

 * Additional information
   
 * What is your time frame for implementation?*
   Time frame to implementWithin 30 days1-3 Months3-6 Months6-9 Months9-12
   Months
 * Best time to contact you*
   


This iframe contains the logic required to handle AJAX powered Gravity Forms.



×


GET A WORKERS’ COMP QUOTE

 

 * Legal Name of Business*
   
 * Federal Tax ID Number*
   
 * Number of Employees*
   
 * Address*
   Street Address Street Address Line 2 City Region Postal / Zip Code
   AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and
   BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia
   and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina
   FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African
   RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo,
   Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech
   RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl
   SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe
   IslandsFijiFinlandFranceFrench
   PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong
   KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth
   KoreaSouth
   KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall
   IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew
   ZealandNicaraguaNigerNigeriaNorthern Mariana
   IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New
   GuineaParaguayPeruPhilippinesPolandPortugalPuerto
   RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and
   the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi
   ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint
   MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri
   LankaSudanSudan,
   SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad
   and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab
   EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican
   CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands,
   U.S.YemenZambiaZimbabwe Country
   
 * Type of Business/Description of Operations
   
 * Contact Name
   First Last
 * Contact Phone Number
   
 * Contact Email
   
 * 
 * 
 * 
 * The Company Is:
    * Existing Client
    * Prospect

 * Payroll Frequency
   WeeklyBi-weeklySemi-MonthlyMonthly
 * First Check Date
   


This iframe contains the logic required to handle AJAX powered Gravity Forms.
×


SCHEDULE A CALL




×