An official website of the United States government
This page displays when you select the Corporate account type. You are asked to submit information for the company that will be submitting cases under this WCMSAP Account. An Employer Identification Number (EIN) cannot be registered more than once.
Fields marked with an asterisk * are required.
| Employer Identification Number (EIN) | The IRS-assigned employer identification number (EIN) associated with the company listed. |
| Corporation Name | Enter the name of the company. |
| Address Line 1 | Enter the first line of the company mailing address. |
| Address Line 2 | Enter the second line of the company mailing address. Optional. |
| City | Enter the city where the company is located. |
| State | Select the company’s state from the dropdown list. |
| Zip Code | Enter the company’s 5-digit zip code. The Zip+4 field is optional. |
After you have correctly entered all corporate information, click the Next button to proceed to the next page in the New Registration step.
Click the Previous button to return to the previous page.
Click the Cancel button to return to the WCMSAP Welcome page.
A federal government website managed and paid for by the U.S. Centers for Medicare and Medicaid Services.
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