888-729-4408 or locally 775-684-0876
User Registration - EMPLOYER IDENTIFICATION
To start your registration, please complete as much of the information below as possible. Items marked with a * are required. The Primary Contact will be the principal person to act on behalf of the employer who is registering. Please provide your complete name and contact information or, if not you, the contact information for the person who will act as the Primary Contact. The User Name is the name the Primary Contact will use to login to the site once registration is complete. Please select an ID that is unique to you and easily remembered.
Employer Name:*
FEIN:* SEIN:
Primary Contact First Name:* Last:*
Phone:* Fax:
User Name:*
Email:*  
DBA (Use ';' to separate DBAs):
Completing registration authorizes the Employer Services Center to make limited use of your email address. Click here for our email policy.