CMS Online Enrollment

Enrolling with CMS is a simple 8 step process. You can sign all necessary documents with our Click-to-Sign technology. This is a paperless process. Our system is tested daily to ensure the information you provide is safe and secure.

In order to get started you will need the following information

Individual

  • Contact Information
  • Social Security Number
  • Drivers License Number

Vehicle

  • VIN Number

Beneficiary

  • Contact Information for the Recipient

Contracting Company

  • Username
  • Password

Business (If Applicable)

  • Name and EIN Number

Your Time

  • Completion of this process takes between 15 and 30 minuntes to read and complete the enrollment documents.

Language Option & Legal Agreement

All instructions can be translated to one of the languages below. However, all contracts are in English and you have 72 hours to rescind any signatures.

Language Option:

I DO NOT wish to enroll using the online method. I would rather enroll using paper documents
I AGREE to use the CMS Independent Contractor Online Enrollment System. I understand this system takes advantage of CMS Click-to-Sign Technology using an electronic signature to sign legal documents and is E-Sign Act compliant.
 
 

In order to continue your enrollment using this online method, you must agree to the terms and conditions for use of the CMS Online Enrollment System. This platform takes advantage of CMS Click-to-Sign Technology that implements an electronic signature to sign legal documents.

If you would rather use an alternative method, please contact your terminal manager to be manually enrolled.

To continue the CMS Online Enrollment process please click the button below to try again.

Before you begin, please ensure you have enough time to complete the enrollment process. It takes approximately 20 minutes. For security reasons if you exit before completing all steps,you will need to start the process from the beginning.

Understand how our business solution works. See our results in your company today!

Enroll Online!

Security Seals

Contact us with your questions and comments
 
9197 West Thunderbird Road
Peoria, Arizona 85381

Office Hours: 8:00 AM to 6:00 PM EST
Office Phone: 623.561.5681
Toll-Free Number: 1.800.742.7508
Fax Number: 623.561.9190
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