Employer Primary Contact Form

As part of the shift to our new Employer Portal, we need to set your company up with a primary contact person.

Please provide the name, email, and mobile phone number of your nominated primary contact.

MyLeave Registration Number*

Your 7-digit MyLeave registration Number starting with a "9" quoted in the subject line of this email.

Primary Contact Name*

First NameLast Name

Primary Contact Mobile*

This will be used for multi-factor authentication

Primary Contact Email *

This will be used for multi-factor authentication