American Administration Services Company

Registration Form for Benefits Enrollment

After you are successfully registered, your web browser will ask you to type in your username and password the first time you try to access the enrollment site. Your browser will remember this information for as long as it continues to run, so you can access any document in this enrollment site without being asked for it again.

Enter any username you wish:
-- you may use mixed case
Make up a unique password:
-- keep this private!
Enter your password again:
-- for verification
Enter your e-mail address here:
-- if you have one

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Copyright 2001 American Administration Services Co.  All rights reserved.
Revised: 10/08/03.