OE-417 Registration

Register User Profile

NOTE:
When possible use an official company issued Email address for registration purposes. All account requests are subject to review.

As a filer you are encouraged to register an account within the OE-417 system. Doing so will enable time saving features such as pre-populating forms, viewing submission history/archives and saving/editing of draft filings prior to submission.

First Name:*

Required field!

Last Name:*

Required field!

Title:

Phone Number:*

- - Ext:

Fax Number:

- -

E-Mail Address:*

Confirm E-Mail Address:*

Password:*

Password must be between 12 and 16 characters, no spaces. 3 of the 4 following must be used: uppercase alphabetic, lowercase alphabetic, numeric, symbols (click valid special characters for examples)

Confirm Password:*

Required field!

*Required

Select if POC is the same as the registered account holder
Note: Selecting this option will disable all POC input fields.

First Name:*

Required field!

Last Name:*

Required field!

Title:

Phone Number:*

- - Ext:

Fax Number:

- -

E-Mail Address:*

*Required

The information contained in the box below will be used for security/confirmation purposes related to your E-Filing User Name/password. Please Complete all 3 questions and responses. The security questions below will be used to verify your identity in case of a forgotten password. All answers are case sensitive.

Question 1:*

Response 1:*

Required field!

Question 2:*

Response 2:*

Required field!

Question 3:*

Response 3:*

Required field!

*Required

Create New Organization

Note: Only choose this option if your organization does not appear in the auto-complete list after typing the first three characters of its name.

Organization Name: *

Address Line 1: *

Address Line 2:

City: *

State: *

Zip: *

There is currently no one registered as an administrator for this organization. Consider requesting to become an administrator.

Organization Admin
Note: Checking this box will send a permissions request to the system admin. You will be notified when the changes go into effect.

*Required

Default States and Counties

Use the pulldown menu to select a default state, then click add. Multiple default states can be added, and multiple counties for each state. New forms created will automatically populate with this information.

States: