Employers

General Information:

Please complete the form below to register with the CNMI Department of Labor. After you have completed the registration process, your submission will be transmitted to the CNMI Department of Labor for review. Upon successful review, your profile will be activated and you will be notified of the activation via the email address you have indicated on this form.

Questions about this form:

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Employer Profile:

Note: you may enter DBA information by updating your Company Profile after submitting this form.

* Indicates a required field.

	Requested username * Letters and numbers only
	Requested password * Letters and numbers only
	Confirm password *
	Company Name *
	NAICS Code *	Find your 6-digit 2007 NAICS code here or search by keyword at the US Census Bureau
	Number of Employees *	Please Select 1 Employee 2-5 Employees 6-10 Employees 11-20 Employees 21-50 Employees 51-75 Employees 76-100 Employees 101-300 Employees 301-500 Employees 501-1000 Employees 1001 or more
	Number of Full-Time Foreign National Workers*	(enter 0 if none)
	Number of Full -Time U.S. Status Qualified Workers *	(enter 0 if none)
	Number of Full-time EAD (Employment Authorization Document) workers *	(enter 0 if none)
	Number of Number of Part-time EAD workers *	(enter 0 if none)
	EAD Type	Please Select Category 1 Category 2 Category 3
	Number of Part-Time CW workers *	(enter 0 if none)
	Number of Part-Time U.S. Status Qualified Workers *	(enter 0 if none)
	Type of Business	Please Select Corporation Partnership LLC Sole Proprietership Non-Business Employer
	Federal Contractor? *	Yes No
	Contact Person *
	Address *
	City *
	State *	Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Virgin Islands, U.S. Washington West Virginia Wisconsin Wyoming Armed Forces the Americas Armed Forces Europe Armed Forces Pacific Not US Not Known
	Zip or Postal Code *
	Country *	Algeria American Samoa Andorra Anguilla Antigua Barbuda Argentina Aruba Australia Austria Azores Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bolivia Bonaire Botswana Brazil British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Canary Islands Cape Verde Islands Cayman Islands Central African Republic Chad Channel Islands Chile China Colombia Congo Cook Islands Costa Rica Croatia Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador England (Great Britain and Northern Ireland) Equitorial Guinea Eritrea Estonia Ethiopia Faeroe Islands Federated States of Micronesia Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Holland (Netherlands) Honduras Hong Kong Hungary Iceland India Indonesia Ireland Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kosrae Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Madeira Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mexico Moldova Monaco (France) Montserrat Morocco Mozambique Myanmar Namibia Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Norfolk Island Northern Ireland (Great Britain and Northern Irela Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Ponape Portugal Puerto Rico Qatar Republic of Yemen Reunion Romania Russia Rwanda Saba Saudi Arabia Scotland (Great Britain and Northern Ireland) Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands South Africa South Korea (Korea Spain Sri Lanka St. Barthelemy St. Christopher St. Eustatius St. Kitts Nevis St. Lucia St. Maarten St. Martin St. Vincent the Grenadines Sudan Suriname Swaziland Sweden Switzerland Tahiti (French Polynesia) Taiwan Tajikistan Tanzania Thailand Togo Tonga Tortola Trinidad Tobago Truk Tunisia Turkey Turks Caicos Islands Tuvalu Uganda Ukraine Union Island United Arab Emirates United States Uruguay US Virgin Islands Uzbekistan Vanuatu Venezuela Vietnam Virgin Gorda Wake Island Wales (Great Britain and Northern Ireland) Wallis Futuna Islands Western Samoa Yap Zaire Zambia Zimbabwe Not Known
	CNMI TIN Number† * (NO dashes)
	FEIN Number† (Required if Federal Contractor)
	Telephone Number * (xxx-xxx-xxxx)
	Other Number (xxx-xxx-xxxx)
	Email address *

† Your TIN and FEIN numbers will be encrypted and will only be displayed for authorized Department of Labor staff.