Register yourself

If you would like to register yourself or someone else to have access to your organization's account on the Colonial Life for Clients Portal, please complete this request form.

Are you or the person you wish to register not currently an employee of the organization? Alternatively, are you a third-party administrator? Please download and fill out the following form and email it to

Download the General service provider form for CL, or if you are a resident of NY, download the General service provider form for Paul Revere (NY).