Claimant Registration (Step 1 of 2)

^*Other ID Type

^*ID Number

^*State Issued

Correspondence Preference				Help Text Help Video
^*Would you prefer to receive correspondence from this Agency(when possible) via U.S. Mail or E-Mail?	US Mail E-Mail

Account Information			Help Text Help Video
Select a PIN hint question from the drop-down list, and enter your answer. When you have successfully registered, the system will assign your PIN and User Name.

^*PIN hint question
^*PIN hint answer