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Employer Signup
Welcome
SREG-200
Employer Signup
*
Required Information
This screen is used to create login information for an Employer. If you are a CDS Vendor, Payroll Service, or Third Party click CANCEL and select the appropriate hyperlink to sign up.
1.
*
DES Employer Account Number (EAN)
-
2.
*
FEIN
3.
*
Create User ID
(Must be 11-30 characters.The first character must be a letter)
4.
*
Password
(Case sensitive)
(Click on
for Password requirements)
5.
*
Confirm Password
(Case sensitive)
The following security questions will be used to reset your password if it is forgotten.
6.
*
Security Question 1
-Select-
What was the make and model of your first car?
What was your childhood nickname?
In what city were you born?
In what city or town did you attend/graduate college?
What is your favorite color?
What is your favorite sports team?
What is the name of your favorite childhood teacher?
Where did you attend your first day of your freshman year of high school?
In what city was your first job?
What is the first name of the person you first kissed?
What is your maternal grandfather's first name?
What is your mother's maiden name?
What is your oldest nephew's first name?
What is your oldest niece's first name?
In what city or town did you meet your spouse/partner?
What is your pet's name?
What is your paternal grandmother's maiden name?
Where did you go to high school?
What is the name of the place your wedding reception was held?
7.
*
Answer
8.
*
Security Question 2
-Select-
What was the make and model of your first car?
What was your childhood nickname?
In what city were you born?
In what city or town did you attend/graduate college?
What is your favorite color?
What is your favorite sports team?
What is the name of your favorite childhood teacher?
Where did you attend your first day of your freshman year of high school?
In what city was your first job?
What is the first name of the person you first kissed?
What is your maternal grandfather's first name?
What is your mother's maiden name?
What is your oldest nephew's first name?
What is your oldest niece's first name?
In what city or town did you meet your spouse/partner?
What is your pet's name?
What is your paternal grandmother's maiden name?
Where did you go to high school?
What is the name of the place your wedding reception was held?
9.
*
Answer
10.
*
Security Question 3
-Select-
What was the make and model of your first car?
What was your childhood nickname?
In what city were you born?
In what city or town did you attend/graduate college?
What is your favorite color?
What is your favorite sports team?
What is the name of your favorite childhood teacher?
Where did you attend your first day of your freshman year of high school?
In what city was your first job?
What is the first name of the person you first kissed?
What is your maternal grandfather's first name?
What is your mother's maiden name?
What is your oldest nephew's first name?
What is your oldest niece's first name?
In what city or town did you meet your spouse/partner?
What is your pet's name?
What is your paternal grandmother's maiden name?
Where did you go to high school?
What is the name of the place your wedding reception was held?
11.
*
Answer
12.
*
Information Submitted By
a. First Name
b. Middle Initial
c. Last Name
d.Suffix
-Select-
Jr.
Sr.
I
II
III
e. Phone Number
-
-
Ext.
f. Job Title
g. E-mail Address
