In most cases your User ID is your registered email address. If you are an agency user and your agency has opted to use Windows Authentication, your agency's Windows username will be your User ID.
Your password must have a minimum of 8 characters, with one number, one uppercase letter, one lowercase letter and a special character.
Please enter your desired account information on this page.
IMPORTANT NOTE: The email address you provide will be the unique identifier of your account, and the system will send emails to that address. Be aware that should you later decide to apply for an Electronic Signature capability in the ePortal system (which is required to submit most ePortal forms), the electronic signature application will legally tie your account's email address to you, and no other person should be using that email address.
After creating your new account, a verification email with a confirmation code will be sent to the provided email address. Your account will not be activated until you open this email and enter the confirmation code on the registration screen. If you do not receive the verification email, please check your junk mail folder to ensure the email was not treated as junk mail.
Prefix:
First Name:
Middle Name:
Last Name:
Phone:
Ext.:
Email Address:
Confirm Email Address:
Password: Your password must contain: a minimum of 8 characters at least one number at least one uppercase letter at least one lowercase letter at least one special character
Confirm Password:
Organization Name:
Title:
Address Line 1:
Address Line 2:
City:
State/Area:
Postal Code:
Country: