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110.232.178.157  Public Scan

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Submitted URL: https://ad.doubleclick.net/ddm/clk/433576799;236064452;u;u=ds&sv1=67763756739&sv2=3361806533899689&sv3=6955372083350341143&...
Effective URL: https://www.adp.com/semlps/2020/workers-comp.aspx?CID=iP_SEM_Google_All_SEM_Text_INS_Null_Null_Null_Aug_19_NB_BMM&de...
Submission: On April 09 via manual from SG — Scanned from SG

Form analysis 1 forms found in the DOM

POST /formbuilder?CID=iP_SEM_Google_All_SEM_Text_INS_Null_Null_Null_Aug_19_NB_BMM&device=m&Keyword=get%20workers%20comp%20insurance&Keyword_Match_Type=e&Ad_Content_ID=602501201511&Referring_Source=Google&targetid=kwd-300265771126&network=g&dc_campid=71700000089009050&dc_adgroupid=58700007524858013&q1=43700067763756739&gad=1&gclid=CNS1g9HcmP4CFS8MiAkdHuQMwQ&gclsrc=ds&fxb.FormItemId=3dee483c-5db2-4288-9584-e6edc17787a9&fxb.HtmlPrefix=fxb.a1ed7f02-1687-480f-a385-4adaf9b863fc&fxb.PageItemId=2733ca3b-262a-4bc3-9117-3d5bccf04ecc&fxb.RenderingId=6b14029c-a948-48bb-8074-4a72092d4d7a&fxb.EntryId=f81915cb-70e2-44ff-a4eb-d0d58940582b

<form
  action="/formbuilder?CID=iP_SEM_Google_All_SEM_Text_INS_Null_Null_Null_Aug_19_NB_BMM&amp;device=m&amp;Keyword=get%20workers%20comp%20insurance&amp;Keyword_Match_Type=e&amp;Ad_Content_ID=602501201511&amp;Referring_Source=Google&amp;targetid=kwd-300265771126&amp;network=g&amp;dc_campid=71700000089009050&amp;dc_adgroupid=58700007524858013&amp;q1=43700067763756739&amp;gad=1&amp;gclid=CNS1g9HcmP4CFS8MiAkdHuQMwQ&amp;gclsrc=ds&amp;fxb.FormItemId=3dee483c-5db2-4288-9584-e6edc17787a9&amp;fxb.HtmlPrefix=fxb.a1ed7f02-1687-480f-a385-4adaf9b863fc&amp;fxb.PageItemId=2733ca3b-262a-4bc3-9117-3d5bccf04ecc&amp;fxb.RenderingId=6b14029c-a948-48bb-8074-4a72092d4d7a&amp;fxb.EntryId=f81915cb-70e2-44ff-a4eb-d0d58940582b"
  data-ajax="true" data-ajax-failure="integrate3rdPartyOnError(xhr, status, error,'3dee483c-5db2-4288-9584-e6edc17787a9','f81915cb-70e2-44ff-a4eb-d0d58940582b');" data-ajax-method="Post" data-ajax-mode="replace-with"
  data-ajax-success="$.validator.unobtrusive.parse('#fxb_a1ed7f02-1687-480f-a385-4adaf9b863fc_3dee483c-5db2-4288-9584-e6edc17787a9');$.fxbFormTracker.parse('#fxb_a1ed7f02-1687-480f-a385-4adaf9b863fc_3dee483c-5db2-4288-9584-e6edc17787a9');integrate3rdPartyAfterSuccess(data, status, xhr,'3dee483c-5db2-4288-9584-e6edc17787a9','f81915cb-70e2-44ff-a4eb-d0d58940582b');"
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    id="fxb_a1ed7f02-1687-480f-a385-4adaf9b863fc_scvisitorid" name="fxb.a1ed7f02-1687-480f-a385-4adaf9b863fc.scvisitorid" type="hidden" value="2jnltbbl5xlomyxuxcstd4dx"><input name="__RequestVerificationToken" type="hidden"
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    value="3dee483c-5db2-4288-9584-e6edc17787a9"><input id="fxb_a1ed7f02-1687-480f-a385-4adaf9b863fc_PageItemId" name="fxb.a1ed7f02-1687-480f-a385-4adaf9b863fc.PageItemId" type="hidden" value="d15f462c-02cf-4185-9842-bdef27b4f711">
  <div data-sc-field-key="6B8A71E638574D61B6A8BB11062F48D8" class="form-group field-client">
    <input id="fxb_a1ed7f02-1687-480f-a385-4adaf9b863fc_Fields_Index_0f12e897-d8ce-4426-be12-eb38c8420f1b" name="fxb.a1ed7f02-1687-480f-a385-4adaf9b863fc.Fields.Index" type="hidden" value="0f12e897-d8ce-4426-be12-eb38c8420f1b"><input
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      value="0f12e897-d8ce-4426-be12-eb38c8420f1b">
    <fieldset class="">
      <legend class="">Are you a current ADP client?</legend>
      <label>
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          data-val-required="Please enter Are you a current ADP client?." data-val="true"><span>Yes</span>
      </label>
      <label>
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      </label>
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  </div>
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  <input class="hiddenField" data-fieldname="C_Primary_DM_Phone1" id="fxb_a1ed7f02-1687-480f-a385-4adaf9b863fc_Fields_c9d925a7-e042-473d-8ba8-dc9083635eca__Value"
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1 Internal survey of 697 ADPIA clients in 2022 that use ADP's Pay-by-Pay®
Premium Payment Program to calculate and process their workers' compensation
premiums.
2 Must be an ADP Payroll client using RUN Powered by ADP®, ADP's Pay-by-Pay®
Premium Payment Program and have a workers' compensation policy brokered through
ADPIA.
3 While premium deposits may be eliminated by most carriers, mandatory state
assessment fees may be required in some states.
This information is not intended as tax or legal advice. If you have any
questions, contact a tax or legal professional.
Automatic Data Processing Insurance Agency, Inc. (ADPIA) is an affiliate of ADP,
Inc. All insurance products will be offered and sold only through Automatic Data
Processing Insurance Agency, Inc., its licensed agents or its licensed insurance
partners, One ADP Blvd., Roseland, NJ 07068. CA license # 0D04044. Licensed in
50 states. Certain services may not be available in all states.

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