New User Registration | ADAPT Registration

User Registration Wizard Step 1 of 6

Security Agreement

The entire agreement must be read, and you must check 'I Agree' before continuing.

NOTE: You must scroll to the bottom of the agreement in order to continue

By entering this site and/or submitting the completed registration form, you:

1. Certify that you believe your job duties with your agency / employer qualify you to be granted access to the ACJIC system.

2. Agree that ACJIC, or a representative of ACJIC, may contact your employer to verify all information provided, as well as use any and all other investigative means at the State's disposal to verify your identity and eligibility for access.

3. Agree that, if granted access, you will be bound by all terms and conditions related to privacy and security as outlined below.

4. Agree that, if granted access and you and or your agency subsequently become ineligible for access for any reason, you will promptly report same to ACJIC administrators.

I Agree With The Above

Organization

Agency Identifier (ORI)

Required

Job Title

Sworn

Personal Information

Social Security Number (SSN)

Required

First Name

Required

Middle Name

Last Name

Required

Suffix

Preferred Name

Date of Birth

Required

Sex

Required

User Information Not Verified Or Account Already Exists.

Work Address

Street 1

Street 2

City

State

ZIP

Phone Number

Home Address

Street 1

Street 2

City

State

ZIP

Phone Number

Phone Numbers

Cell Phone Number

Cell Phone Provider

Push-To-Talk Number

Push-To-Talk Provider

Other Phone Number

Photo Upload

Uploading a photograph of yourself is optional, but recommended for identification purposes.

Use LEADS Photo

LEADS Photo

Image Upload

Select image Change Remove

NOTE! Image upload preview is supported only in the latest Firefox, Chrome, Opera, Safari and Internet Explorer 10

Password

Required

Confirm Password

Required

Password Requirements

For password complexity requirements, contact your AISO/TAC or the ALEA Support Center at 1-844-838-9028.

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