Set Up Self-Employed Worker Account Login

Your Name(Required)

First Last

Business Name (if applicable)

Email(Required)

Password(Required)

Enter Password Confirm Password

Strength indicator

Passwords should be at least: - 12 characters long - have one uppercase letter - have at least one lowercase letter - have at least one special character such as %, *, &

Address(Required)

Street Address Address Line 2 City Province Postal Code

Mailing Address

Same as your address

Street Address Address Line 2 City Province Postal Code

Phone(Required)

Phone 2

Fax

Form of Business(Required)

Business Category(Required)

Other Business Category(Required)

Do you have a Registration Number to do Business in Nova Scotia?(Required)

Yes

What Type of Registration do you have?

Business Registration Number

Nova Scotia Registry of Joint Stock Number

Would you prefer to be reimbursed by direct deposit or cheque?(Required)

Direct Deposit

Cheque

Send Reimbursement To

Your Address

Mailing Address

Your Bank or Credit Union Account Number

Bank Number

Transit Number

Declarations and Attestations

I declare, agree and attest(Required)

I declare, agree and attest that the information provided is accurate and true.