Registration Request for Police Agencies ONLY
Please DO NOT fill out this form unless you are representing a Police Agency.

Please fill out the questions below to acquire your User ID and Password, or to create a new account.

NOT FOR HQL, INSTRUCTORS, OR GUN STORES. YOU WILL NOT GET A RESPONSE!
Information About Officer Requesting Account
The following is information on the person requesting an account, so we may contact you with your User ID and Password.
Please Enter YOUR Rank (ex. SGT.) *
Please enter your Rank.
Your answer
Please Enter YOUR FULL Name *
Please enter your name so we know who to contact with any questions
Your answer
Please Enter YOUR ID Number (ex. 1234) *
Please enter your Department ID Number
Your answer
Please Enter YOUR Email Address (ex. address@department.com) *
Please enter your email address so we have a way to contact you. This email address MUST be an agency email address.
Your answer
Please Enter YOUR Phone Number (ex. 410-555-1234) *
Please enter your phone number so we have a way to contact you.
Your answer
Police Agency Information (Agency that Owns the Device or Canine)
The following information will be used to locate your account, or create a new account for you.
Organization/Agency Name (ex. Maryland State Police) *
Please enter the legal name of your agency or organization. Do not use acronyms or abbreviations.
Your answer
Headquarters Address (ex. 1201 Reisterstown Road) *
Please enter the address of the Headquarters address.
Your answer
Headquarters City (ex. Pikesville) *
Please enter the city the headquarters is located in.
Your answer
Headquarters State (ex. MD) *
Please enter the state the headquarters is located in.
Your answer
Headquarters Zip (ex. 21208) *
Please enter the zip code the headquarters is located in.
Your answer
Headquarters County (ex. Baltimore) *
Please enter the county the headquarters is located in.
Your answer
Headquarters Email Address (HQ@Agency.gov) *
Please enter the main email address to the agency headquarters.
Your answer
Headquarters Phone Number (ex. 410-555-1234) *
Please enter the main number to the agency headquarters.
Your answer
License Type(s) Applying For *
Please choose the License type(s) you are applying for.
Required
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