Employer Customer Contact List Request Form

Employer Contact List Request

Need a copy of your municipality’s current employer contact list including their contact information, system accesses and preferences for conducting business with MERS? If so, here is how to request a change:

Submit the form below
We will respond via email and provide you with a Customer Contact Report

Any necessary changes must be submitted to your municipality’s Primary Contact or Contact Management Admin to update in the MERS Employer Portal. This Employer Contact Management Guide provides step-by-step instructions for updating information and explains each of the available options.

Request a List of Contacts

Employer Information
Municipality Name*
Requestor First Name*
Requestor Last Name*
Requestor Position Title*
Requestor Email*
Requestor Phone*

Employer Contact List Request

Request a List of Contacts

Employer Information