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




Note: Register as the Individual or Business entity for whom the credential will be issued.
**Do NOT proceed with registration if the Individual or Business has ever been issued an online User ID.
Proceed to Login to recover your account login information**



Has the Individual or Business ever had any prior Licensing interaction(s) with any of the following State agencies:
Public Health, Consumer Protection, Agriculture, Early Childhood, or Board of Accountancy?