Agency User Registration

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Grantor Registration

Please enter your information below.

Required fields are denoted with an asterisk (*).

The following special characters are allowed: question marks, periods, dashes, underscores, and @ symbol (Password and username are not subject to these restrictions.)

First Name:

MI:

Last Name:

Job Title:

Agency Code:

Telephone:

Email:

Secret Question:

Secret Answer:

User Name:

Password:

Confirm Password:

Your password must contain at least eight (8) characters including: at least one (1) uppercase letter (A-Z); at least one (1) lowercase letter (a-z); and at least one (1) number (0-9).

Warning Notice

This is a U.S. Government computer system, which may be accessed and used only for authorized Government business by authorized personnel. Unauthorized access or use of this computer system may subject violators to criminal, civil, and/or administrative action.

All information on this computer system may be intercepted, recorded, read, copied, and disclosed by and to authorized personnel for official purposes, including criminal investigations. Such information includes sensitive data encrypted to comply with confidentiality and privacy requirements. Access or use of this computer system by any person, whether authorized or unauthorized, constitutes consent to these terms.