Register

Complete the information below and click Submit. Your Authorization Code will be sent to the email address provided. The first time you log into the site you will be prompted to enter this Authorization Code.

Warnings

* Email:

* Confirm Email:

Please verify the correct spelling of the email address. If it is incorrect or invalid, it cannot be changed and no further action can be taken without contacting your licensing agency.

* First Name:

* Last Name:

* Date of Birth:

* Confirm Date of Birth:

* Social Security #:

* Confirm Social Security #:

* Security Question:

* Security Question Answer:

* Password:

* Confirm Password:

Cancel

Social Security Number is required per Florida Statute 435.12 (2)(d). If an individual cannot legally obtain a social security number they must provide an individual taxpayer identification number.

Password Requirements:

Must be at least 9 and no more than 20 characters.
Must contain at least three of the following four factors:
UPPERCASE LETTERS(A-Z)
lower case letters(a-z)
Numbers(0-9)
Special Characters (! @ # $ % ^ * ( ) _ "'+ - = { } | [ ] & : ; ' < > ? , . /)

Registration