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The State of Alaska
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Organization/Company Account Information
* Denotes Required Field  
Organization Type:
*
Organization/Company Name:
*
Doing Business As:
Business License Number:
 
Mailing Address
Address:
*
Address cont.:
 
City:
*
State :
*
 ZIP code format: 99999 or 99999-0000
Zip:
*
Physical Address
   Same as Mailing
Address:
Address cont.:
 
City:
State:
 ZIP code format: 99999 or 99999-0000
Zip:
Billing Address
   Same as Mailing
Address:*
Address cont.:
 
City:*
State:
*
 ZIP code format: 99999 or 99999-0000
Zip:
*
Primary Contact Person
Mr./Mrs./Ms.:
 
First Name:
*
Middle Initial:
 
Last Name:
*
Jr./Sr./etc.:
 
Title:
 
  Phone number format: 999-999-9999
* at least one phone field is required.
Work Phone:
 
Home Phone:
 
Cell Phone:
 
  Fax number format: 999-999-9999
Fax:
 
Email:
 
 User IDs can be a combination of letters and numbers and must have between five and sixteen characters. Passwords must be at least five characters. Both are case-sensitive.
User Id:*
Password:
*
Confirm Password:
*
 When contacting the DOT/PF by phone or in person, you will be asked a question to verify your account.  Please provide a question and answer that are unique to you.

Verification Question is the question that you want the DOT/PF to ask to help identify you as the account holder, e.g. "What is your mother's maiden name?"

Verification Question:
*
 Verification Answer is your response to the question.
Verification Answer:
*
  • Submit: sends your account information to the system.
  • Reset: sets all the fields to blank without saving/submitting any current information.
  • Cancel: exits to the Main Menu page without saving/submitting any current information.
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