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Wisconsin Professional Employer Organization & Group Forms

  • Adobe PDF Document Form #2840 - Application for Registration - A professional employer organization or group (PEO/PEG) should use this form to apply for a PEO/PEG credential if it wants to operate in Wisconsin. If a PEO/PEG will have a limited presence in Wisconsin, it may qualify to use form #2858 instead. If a PEO/PEG has been approved by Employer Services Assurance Corporation (ESAC), it should use form #2854.
  • Adobe PDF Document Form #2858 - Application for Registration - Small Operations - A professional employer organization or group (PEO/PEG) should use this form to apply for a PEO/PEG credential if it wants to operate as a PEO/PEG in Wisconsin and qualifies for small operations registration. In order to qualify for small operations registration, the PEO/PEG must be registered as a PEO/PEG in another state, cannot maintain an office in Wisconsin, cannot solicit clients that are in Wisconsin, and cannot have more than 50 employees performing services for Wisconsin clients on any given day. A registrant that holds a small operations credential does not need to maintain a surety bond or submit audited financial statements to the Department of Financial Institutions on an annual basis.
  • Adobe PDF Document Form #2843 - Surety Bond - All Professional employer organizations and groups that submit application form #2840 must also submit a surety bond.
  • Adobe PDF Document Form #2854 - Assurance Organization Certification - A professional employer organization or group (PEO/PEG) must use this form to apply for a PEO/PEG credential if it has been approved by Employer Services Assurance Corporation (ESAC) and wants to operate as a PEO/PEG in Wisconsin.

Miscellaneous Forms

Mail completed forms to:

WI Department of Financial Institutions
PO Box 7879
Madison, WI 53707-7879