California Premises Identification System
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Additional Information
Step #1 : Create Account
Step 1: Please create an account. Creating an account will allow you to request a national Premises ID. Information relating to your business or operating entity should be entered here. You will create a Premises record in the next step.
 
Step 2: Create Premises
Step 3: Create Operation
Step 4: Create Primary Contact
* - denotes required field
Accountholder Name * :
Mailing Address * :
City * :
State * :
Zip * :
Phone * :
Fax:
Email * :
Please note: Your Password must be at least 6 characters long and must contain at least one of the following characters:
!  @  #  $  %  ^  &  *  (  )  _  +
Password * :
Confirm Password * :
Notes:
Contact Preference: Phone
Fax
Email
 
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