Submit the information below to request access to Benovate Connect for your spouse.  

New invitation links will be sent to the email provided below around the 15th of the month.  At that time, your spouse will click "Verify Your Account" in that unique email and follow the prompts to complete the set up process.

Reier Group/Benovate Employee Name *
Reier Group/Benovate Employee Name
Spouse Name *
Spouse Name
Date of Birth *
Date of Birth
Required for security purposes