Destructive Device Permit System

Register/Update Account


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Last Name of Applicant:

First Name of Applicant:

Middle Initial of Applicant:


U.S. Citizen?

Upload Proof of Citizenship:  Examples


Social Security Number:
(XXX-XX-XXXX)
Date of Birth:
(MM/DD/YYYY)
Race:

Gender:
 

Home Phone Number:

Work Phone Number:

Mobile Phone Number:


Mailing Address:

Mailing Address Line 2:

City:

State:

Zip Code:


Email Address:  
 
Confirm Email Address:  

Password:  

Confirm Password:  
 
Password Question:  

Answer:  



Password must be at least:
-8 character minimum
-12 character maximum
-1 uppercase
-1 lowercase
-1 number

For additional security, please check the checkbox below (and complete any puzzle prompts you may receive).