Create User ID and Password

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USR-011
Error Messages
  • The response to Question 1 is required.
  • The response to Question 4 is required.
  • The response to Question 5 is required.
  • The response to Question 6 is required.
  • The response to Question 7 is required.
  • The response to Question 8 is required.
  • The response to Question 9 is required.
  • The response to Question 2 is required.
  • The response to Question 3 is required.



* Required Information


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2. *   Help Question
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The following questions will be used to reset your password and verify your identity when contacting the Division. To reset your password online, you will be required to answer your selected Security Questions. Your answers must be entered exactly as entered here. If you cannot provide the answers exactly as they are entered below, you will be required to contact a Regional Claims Center by phone.
The following security questions will be used to reset your password if it is forgotten.
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