Mineral Request for Information

Mineral Request for Information

Please fill out the below form and our HR Consulting Team will reach out to you with more details and information.
Do you already have a Mineral Account?*

YesNoI'm not sure
Company
Registered Business Name*
DBA
How can we help you? (select one)*

Set up a New Company AccountResend a LoginAdd an Admin User (note: as a Client Admin, you have access to add other Client Admins)Deactivate Company Account or Admin userWorkplace Harassment TrainingOther

Resend Login

Please fill in the below information for the relavent login you'd like recovered
Name*

First NameLast Name
Email*
example@example.com

Add a Client Admin User

Please fill in the below information for the new user you would like added
New User Name*

First NameLast Name
Email*
example@example.com
In which states do you operate?*
If you'd like to add additional Client Admin Users, please list them below (use +Add Row to add multiple users)

Deactivate an Account or User

Please fill in the below information for the account or user you would like deactivated
Would you like to deactivate the ACCOUNT or a USER*

AccountUser
Why would you like your Mineral account deactivated?*
Fill in the information for the user(s) that you would like removed from your account. (use +Add Row to add multiple users)*

Workplace Harassment Training

Please fill in the below information and we will reach out to provide more information
Name*

First NameLast Name
Email*
example@example.com
Total Number of Employees*

Set Up a New Account