Create an Employer Account

Use this form to create your e-file user account. Please note: Using this form will not affect your official employer information with H. A. Berkheimer. If you need to change your official employer information with HAB, please use the 'Complete Your Employer Registration, or Update Your Employer Information' link that appears on the left after you have logged in.

Required fields are marked with (*)
First Name:*
Last Name:*
Email (User ID):*
Confirm Email:*
Password:* Password minimum length requirement is 9.
At least one alpha, one numeric and one special character required.
Password may not contain '<' character.
Confirm Password:*
Account Type:*
Company Name:*
Address:
City:
State:
Zip:
Phone #:  (format type ###-###-####)