Secure Account Registration

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Instructions

Registering for a Secure account with AZ.Gov lets you take advantage of our secured applications and services.

Please provide the following information. This information is used for official State business only and it will never be transferred to any 3rd party.

After completing the registration form, click the "Create Account" button. You will receive an email with your User ID and a link to activate your account.

Note: You must activate your account within 5 days. If you do not activate your account within 5 days, the activation link will expire and you will need to register again.

User Name & Email

First Name

Last Name

Confirm Email

Security Question Ex: What is my mother's maiden Name

Security Answer

Contact Information

Business Name (if appropriate)

Title (if appropriate)

Street

Street 2

City

State

County

Zip Code #####

Phone Number ###-###-####