Zenith Online Account Registration – Policyholders Please provide the following information to request online account access. All new accounts are typically set up within one business day. We'll send two emails with your account user ID, password, and login instructions. Note: MyZenith contains employee claims information and can only be requested by an owner, officer, or principal of the company. The account setup process allows an owner, officer, or principal to designate additional employees to have access. Access to anyone except an authorized employee of the company is strictly prohibited. No third party/contractor access is allowed. YES, I am an owner, officer, or principal of the company. (Allows access to MyZenith, and Zenith Solution Center®; subject to approval) NO, I am NOT an owner, officer, or principal of the company. (Allows access to Zenith Solution Center®; subject to Zenith approval and then set up by the owner, officer, or principal of the company) Additional User Remove Additional User First Name * Job Title * Phone Number * (Please DO NOT use Toll Free Number) Last Name * Email Address * Mobile Number Online Account Options Please select at least one option * MYZENITH ZENITH SOLUTION CENTER® Online Account Options Please select at least one option * ACCESS ZENITH SOLUTION CENTER® Company Information Company Name or DBA * Address Line 1 * Address Line 2 City * State * - Select State - ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code * Do you have an existing account for any of Zenith's online applications? * Yes No Please provide your User ID * Contact Information First Name * Job Title * Phone Number * (Please DO NOT use Toll Free Number) Last Name * Email Address * Mobile Number Online Account Options Please select at least one option * MYZENITH: View policy, bills, payments, and claims information. Check the box to acknowledge that you’ve read and accepted the terms of the User Agreement. Note: Only available for workers' compensation policies. ZENITH SOLUTION CENTER®: Access comprehensive risk management and safety resources specific to your industry, as well as training programs, compliance tools, HR best practices, and more. Note: Only current Zenith policyholders are given access. Your company owner, officer, or principal signs up first for "primary user" access. Additional users, or "secondary users," can be added to the Zenith Solution Center® by the primary user. Secondary users can log in after the primary user approves them and completes setup in Zenith Solution Center®. Online Account Options ACCESS ZENITH SOLUTION CENTER® Policy Information Primary Policy # (7 digits starting with M; 10 digits starting with C, J, Z; or 11 digits starting with CFP) * Policy Effective Date (mm/dd/yyyy) * Email Preference On occasion, Zenith emails important information such as regulatory changes, safety and health initiatives, and claim servicing matters to the email you provided. I DON'T want to receive emails. Add Additional Users Would you like to give additional users access to your policy information and/or Zenith Solution Center®? * Add Additional Users Yes No I've read and accept the terms of the Principal User Agreement. * I Accept