Fields marked with an asterisk * are required.
Step 1. Business or Individual




PREVIOUS REGISTRATIONS **PLEASE READ**
  • Previously registered accounts will not be accessible if registering a second account.
  • You must use the User ID and Password linked to that registered account.
  • Please contact the issuing agency below to request your User ID and Password.
Select Yes if the Individual or Business had prior Licensing interaction(s) with any of the following State agencies:
  • Department of Public Health
  • Department of Banking
  • Department of Agriculture
  • DOL Apprenticeship Training  
  • Office of Early Childhood
  • DAS State Fire Marshal Office  
    		•
  • Department of Consumer Protection
  • Department of Developmental Services
  • Department of Revenue Services
  • Secretary of the State Notary Unit
  • DEEP Pesticide or Forestry Programs
  • DAS State Marshal Commission

    • Select No if there are no previous registrations.