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First name:
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Last name:
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Email address:
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Contact info for security (optional)
Provide additional contact info to receive multi-factor authentication security codes and reduce the chance of losing access to your account.
Additional email:
Provide additional contact information to receive security codes and reduce the chance of losing access to your account.
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Mobile phone:
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User ID:
Create a user ID of 4-32 characters
– Use (a-z, A-Z) and (0-9)
– Use any of these four special characters '.', '-', '_', '@'
– Not case sensitive
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Password:
For your security, the state requires a password of at least 10 characters.
Include
at least 3
of the following:
– An uppercase letter;
– A lowercase letter;
– A number;
– A special character, like ($ % #);
Do not include:
– Your user ID
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Retype password:
Write the password down and keep it secure.
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Your initials:
– Please enter your first and last initials
– They must match the first and last name you entered above
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