Form Center

By signing in or creating an account, some fields will auto-populate with your information.

ePermit Account Activation Help

  1. ePermit Account Access Request

    Please submit this form for help with accessing an existing ePermit account or to request help setting up a new account.  Keep in mind that ePermit accounts are for a company, so each contractor can only have a single account.  Registering for additional accounts will cause problems because a permit can only be associated with a single account.

  2. Account Information
  3. Account Type*
  4. If you have an existing account, please provide the business name that is already registered. 

  5. For the license type chosen above.

  6. Personal Information
  7. 7-100 letter or numbers only

  8. This does not need to be the one in our system - this is how we will communicate if we have questions about the information and to provide you with your new login credentials.

  9. Please confirm by checking the box below.*
  10. Leave This Blank:

  11. This field is not part of the form submission.