New Client Onboarding Request

Upon completion of the form, Rover will setup a new portal account for your client within 3 business days.

New Client Onboarding Request

Upon completion of the form, Rover will setup a new portal account for your client within 3 business days.

New Client Onboarding Request

Upon completion of the form, Rover will setup a new portal account for your client within 3 business days.

Census File Template

Please use this template and upload it back to this form.

Download Template

Template

New Portal Account Request

Your Name

Your Company

Your Phone

Your Email

Client/Employer

Client Contact Person

Client Phone

Client Email

List of Carriers (separate by comma)

Data Retrieval Start Date

Enrollment Date

Census File

Additional Info

Census File Template

Please use this template and upload it back to this form.

Download Template

Template

New Portal Account Request

Your Name

Your Company

Your Phone

Your Email

Client

Contact Person

Client Phone

Client Email

List of Carriers (separate by comma)

Data Retrieval Start Date

Enrollment Date

Census File

New Client Onboarding Request

Upon completion of the form, Rover will setup a new portal account for your client within 3 business days.

New Client Onboarding Request

New Client Onboarding Request

Upon completion of the form, Rover will setup a new portal account for your client within 3 business days.

Census File Template

New Portal Account Request​

Census File Template

New Portal Account Request​

New Portal Account Request

New Portal Account Request