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New User Create Account
In order to create an account you must be validated as an authorized user of the system. Once you enter the required information below you will receive an email with instructions to create your password.
Social Security Number
Privacy Act
I declare under penalty of perjury under the laws of the United States of America that the foregoing is true and correct, and that I am the person named above (requester) and I understand that any falsification of this statement is punishable under the provisions of 18 U.S.C. section 1001 by a fine of not more than $10,000.00 or by imprisonment of not more than five years or both, and that requesting or obtaining any record(s) under false pretenses is punishable under the provisions of 5 U.S.C. 552a(i)(3) by a fine of not more than $5,000.00.
First Name
Last Name
Date of Birth
Email
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