Employee Referral Form Insurcomm Employee Referral Program Insurcomm Employee Referral Program Insurcomm is immediately implementing an Employee Referral Bonus Program. All departments are eligible. This will give employees the opportunity to be compensated for referring any new employees to Insurcomm. Details are as follows: A $500 bonus will be paid to the employee who was the referral source after the referral’s 1 year anniversary date. Employees must be currently employed by Insurcomm at the time of the 1-year anniversary date to receive their bonus. Current Employee Name(Required) Date(Required) MM slash DD slash YYYY Candidate Name(Required) Candidate Email(Required) Candidate Phone(Required) Position(s) Interested In(Required) Δ