First Time User Registration

Welcome to the Brilex Group Employee Portal. Please fill in the EMPLOYEE'S information below in order to create
your user account and be able to use the Employee Portal and all its features and benefits.
Please note: this must be the current information on file with HR.
First Name*
Last Name*
SSN Last 4*
DOB Year*  (example 1967)
Email address*  (Will be used for your login to the portal, does not have to be company email)
Password*  (Minimum 8 characters)
Re-type Password*
  * Denotes required field