REQUEST A PASSWORD FOR LEXEPLHELP.COM

  • It is required that you fill in every field.
  • Requested Passwords must be between 8 and 30 characters long. Use only letters or numbers and no spaces or other characters.
  • DO NOT USE APOSTROPHES anywhere.
  • If your choice of Password is already taken we will assign you a similar one.
  • The person that fills in and submits this form will be named the Administrator of your company and assigned administrative access. It is essential that this person read, understand, and comply with all information and instructions that will be provided to them via email and as posted on the site.
  • The Administrator's role is to assign passwords and usernames to others within your company and manage the entire site and specifically the training and testing section of this site including the database of test results.
  • If you are not going to act as the Administrator for your company please have whoever is going to act as the Administrator complete this screen and that person can then assign a password and username for you.
  • Your Administrative Username and Password will be e-mailed to you at the e-mail address you supply on this form after your request is processed and access is approved.
  • You will receive your administrative password and username along with instructions within 7 business days.
  • If you have questions, contact Ellen Hoadley, Lexington's Director of Risk Management, via e-mail here or phone at 617-330-8254.
Remember: The information that you enter into this form is exactly how your official record will be recorded in our database - please ensure that the information, capitalization, and punctuation is correct.

*ALL FIELDS ARE REQUIRED*
Requested Password: 
First Name: 
Last Name: 
Title: 
Company: 
Street Address: 
City: 
State: 
Zip Code: 
Telephone: 
Email Address: 
Lexington Policy Number: