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Register as a Professional Employer Organization (PEO)

This form is for Professional Employer Organizations (PEOs) with Workers’ Compensation policies only. Visit these links to register as a policyholder or broker.

An NJM representative will process your registration and you will receive an email to activate your account.

Please provide the following information:

*Required Fields

e.g. 123-456-7890
e.g. 12-1234567