Contact Person Information

Enter the information for the person we should contact about your account. You are authorizing the Wyoming Department of Workforce Services to contact the named individual, if necessary, to discuss issues relating to your account.

:: User Information ::

Contact Person First Name:  *

Contact Person Last Name:  *

Contact Person Title: 

Contact Person Email Address:  *

Contact Person Telephone Number:  () - *   Ext.: 

Contact Person Fax Number:  () -


Important Information  I certify that I am authorized as an owner, partner, corporate officer, member or representative to complete this business registration.



* Required Field