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DGS
Request User Account
Type of Account
Agency Representative (AR)
ARs create and submit requests for services to their Delegated Authority for approval.
Delegated Authority (DA)
DAs may also create requests and are authorized to approve and submit requests for services to the Real Estate Service Division (RESD).
Account Type is required
Account Information
* Denotes a required field.
*Email Address:
E-mail Address is required.
Invalid Email Address
*First Name:
First Name is required.
*Last Name:
Last Name is required.
*Title:
Title is required.
*Organization Type:
select
California State Agency
Governmental Agency - City
Governmental Agency - County
Governmental Agency - Federal
Capitol Area Development Authority
California State Bar
_NS_
_NS_
Organization Type is required.
*Division/Branch:
Division/Branch is required.
*Street Address:
Street Address is required.
Floor/Suite:
*City:
City is required.
*State:
select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*Zip Code:
Zip Code is required.
Required format is 99999 or 99999-9999
*Telephone Number:
Telephone Number is required.
Invalid Telephone Number
Telephone Extension:
*Fax Number:
Fax Number is required.
Invalid Fax Number
Account Verification
Please provide the following information for your agency's delegated authority (enter only one).
*First Name:
Verification First Name is required.
*Last Name:
Verification Last Name is required.
*Title:
Verification Title is required.
*Email Address:
Verification Email is required.
Invalid Email Address
*Telephone Number:
Verification Telephone Number is required.
Invalid Fax Number
Password Security Question
*Security Question:
select
In what city did you meet your spouse/significant other?
What was your childhood nickname?
What is the name of your favorite childhood friend?
What street did you live on in third grade?
What is the middle name of your youngest child?
What is your oldest sibling's middle name?
What school did you attend for sixth grade?
What was the name of your first stuffed animal?
In what city or town did your mother and father meet?
What was the last name of your third grade teacher?
Who is the person that you first kissed?
What is your maternal grandmother's maiden name?
In what town was your first job?
Security Question is required.
*Security Answer:
Security Answer is Required.
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