GovCore > Regulatory Services Portal

Create Your Account

Please provide your information to create an account. This will become your address of record in the system.

Email Address *

First Name *

Last Name *

Date of Birth *

Must be 18 years or older

Primary Telephone *

Street Address Line 1 *

Street Address Line 2

City *

Country *

Province/State

Postal/ZIP Code *

Password *

Minimum 8 characters

Confirm Password *