Online Job Separation Response Enrollment

Please provide the information below to enroll your business in our electronic job separation response system.

If you use a third party administrator (TPA) or professional employer organization to handle the processing of your employees’ unemployment claims, please consult with the TPA prior to signing up for this service.

For specific questions about this program or form call (303) 318-9055.

Contact Name

Please provide a point of contact for your business.

This is a required question

Please provide a general email address. It is good practice to use an email account that is accessible by all parties permitted to respond on behalf of the employer.

This is a required question

Phone Number

Please provide a contact phone number.

This is a required question

Colorado UI Account No.

Please provide the Unemployment Insurance account number for your business.

This is a required question

Federal Employer Identification Number

Please provide the FEIN for your business.

This is a required question

Are you using a third party administrator or professional employer organization?

This is a required question