OMB 0970-0370
e-NMSN Employer Agreement and Profile Form
Employers and third party processors must complete this OMB-approved employer form (PDF) and the template for the organization's multiple FEINs to register to use the e-NMSN process.
e-NMSN Plan Administrator Agreement and Profile Form
Plan Administrators must complete this OMB-approved plan administrator form (PDF) and the template for the organization's multiple FEINs to register to use e-NMSN.
Employers can contact the Employer Services Team for more information about the process and forms.
Files
- PDF e-NMSN Employer Agreement and Profile form.pdf (1,290.59 KB)
- PDF OMB 0970-0370 - e-NMSN Plan Administrator Agreement and Profile Form.pdf (1,009.56 KB)