Once you select Continue do not select your browser's Back arrow. Your information (except username) can be changed in My Profile after enrollment.
First Name
Employer representatives/payroll agents must enroll using their own name. You may enter up to 12 characters. Spaces and dashes are allowed, however, special characters such as asterisks (*) are not permitted.
Last Name
Employer representatives/payroll agents must enroll using their own name. You may enter up to 12 characters. Spaces and dashes are allowed, however, special characters such as asterisks (*) are not permitted.
Email
Enter a valid email address (e,g., my_name@office.com). The email address must be complete, including the @ symbol. No spaces are allowed.
Phone
Enter a valid phone number in the following format: XXX-XXX-XXXX.
Last 4 of SSN or create a 4-digit PIN
Enter the last 4 of your SSN or create a 4-digit PIN.
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