[Name]
EMPLOYEES’ CLIENT REFERRAL FORM
Employee: ____________________________ Date:_________________
NEW CLIENT NAME:
WORK TO BE PERFORMED:
ESTIMATED LENGTH OF ASSIGNMENT:
REFERRAL SOURCE:
PARTNER APPROVAL:
DATE:
10% REFERRAL FEE TO BEGIN ON: _________ (Date of First Billing)
ENDING DATE: ___________ (12 months from First Billing)
QUARTER/YEAR
FEES COLLECTED
REFERRAL FEE
Employees' Client Referral Form.doc
