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
*	Federal Employer Identification Number 9 digits, do not include dashes or spaces.*
	State Employer Identification Number
*	*Password Your password must be at least 6 characters long.
*	*Password Verification You must retype your exact password in this space.
*	*Address Address 2 Address 3
*	*City
*State	Other(two-letter abbreviation)	*State
* -	Zip Code
*Country	*Country
Less than one year old?	Less than one year old?
Offer Medical Insurance?	Offer Medical Insurance?
	Company's web site url
Number of Employees	Number of Employees
Payroll Provider Yes	Payroll Provider
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 Fax number should include leading zero followed by area code
	*Email
Contact Preference	Contact Preference
Reporting Preference	Reporting Preference

*Note: Fields marked with an asterisk indicates required fields. Only address line 1 is required.