Website Registration

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A new username and password are required if you have not previously registered on this new ASEA website. If you do not have a login for this site or are not sure of your username, complete the secure form below and click on the submit button.

PLEASE NOTE: Employees, spouses and dependent children can register for secure access to their personal and claims information. Employees will not be able to view information about their spouse or dependents age 18 and over. Spouses will only have access to their own information.

	*=Required
First Name*:
Last Name*:
Last four digits of SSN*:
Birth Date (mm/dd/yyyy)*:
Mailing Zip Code*:
Email*:
Confirm Email*:
By checking this box, I hereby certify that the information above, to the best of my knowledge and belief, is true, correct and complete, and that I am the person identified by the above information or have the legal right to view the identified person's information. I understand any willfully false statement I provide is a federal crime that is punishable by fine and/or imprisonment.

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Phone: 866-553-8206 — Fax: 509-323-7614 — Mail: PO Box 5434, Spokane WA 99205

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