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Get Web Access for Employer
Get Web Access for TPA
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Step 1
Step 2: Already have an employer account?
Register for an
Employer Account
Instructions:You must have an existing
Employer account in order to gain web
access. The First Name, Last Name and
Email Address combination must be
unique. If you are a new employer and
need to register, please use our online
registration process.
If you are already registered, but cannot remember your login information, you may
reset your password.
Use the form below to
register for WEB ACCESS
*
Employer Account Number:
-
-
(Account number should be 10 digits, e.g., 0123456-78-9)
*
FEIN:
(FEIN should be 9 digits, e.g., 123456789)
* First Name:
* Last Name:
* Phone Number:
-
* Email Address:
* Confirm Email Address:
* Desired Username:
(The username must be 9-12 characters.)
I agree that the above information is true and complete to the best of my knowledge, and I am authorized to provide this information.I understand that by submitting this information I am applying for online access.