Register your business using the form below.

All fields are required unless marked (optional).

You have successfully submitted the form


Please give us some information about your company.


Please identify the business classifications for which you qualify by marking the appropriate box(es) below. Refer to the definition of each classification as listed following this form.


If your firm qualifies as a Small Disadvantaged, Minority or Woman-owned Business as defined by FAR 52.219, please designate your classification by marking the box for at least one of the categories shown below**


Company Classification

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*Note: Completion and submission of the registration form does not guarantee your status as an approved/preferred Asurion Supplier. Your company will be entered into the Supplier Diversity Database for further consideration based on internal business needs.

Definitions - Business Classifications