SREG-200
* 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. * --- Help Question  
2. * Help Question
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The following questions will be used to reset your password if it is forgotten.
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12. * Information Submitted By
 
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13 * Provide any one of the below additional information questions
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