eFile Password Request

Request passwords for eFile. Fields denoted by * are required.

Survey*
First Name*
Last Name*
Company Name (The name of the entity being reported. If you are filing on behalf of another company, enter that company's name.)*
Telephone Number*
email Address*
Confirm email Address*
Fax Number
eFile User ID or Address Label ID assigned by BEA (enter one if known)
Comments or Additional Info (Limit 500 Characters)