Register

NOTE: If you are a PAYROLL PROVIDER registering to report new hires ON BEHALF OF AN EMPLOYER, please use this form instead (login required).
If you are a PAYROLL PROVIDER registering YOUR OWN ACCOUNT (through which you will report for other employers), click the check box.
If you are NOT A PAYROLL PROVIDER and WILL NOT REPORT FOR OTHER EMPLOYERS, use this form and do not click the check box.
Use this form to register your company for online access to the Mississippi State Directory of New Hires.

Click the Submit Registration button below to submit your registration information.

Company Information
Company Name (*)
FEIN Number (*)	9 digits, do not include dashes or spaces.
State EIN Number
Password (*)	Your password must be at least 6 characters long.
Password Verification (*)	You must retype your exact password in this space.
Address (*)
City (*)
State (*)	Other (two-letter abbreviation):
Zip Code (*)	-
Country (*)
Less than one year old?
Offer Medical Insurance?
Company's web site url
Number of Employees
Payroll Provider	Yes
Contact Information
First Name (*)		First name must be at least 2 characters long.
Last Name (*)		Last name must be at least 2 characters long.
Contact Title
Phone (*)
Fax
E-mail (*)
Contact Preference
Reporting Preference

Fields marked with an * are required. Only address line 1 is required.