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NSA Homepage  ::  New UIC
New State UIC Registration
PLEASE READ THE NOTICE BELOW AND CHECK THE BOX INDICATING YOUR ACCEPTANCE
(You must check the box to submit your UIC application to NSA/BPA)
User ID:  
NOTE: We recommend using your first initial and last name.
First Name:  
Last Name:  
Address Line 1:  
Address Line 2:  
City:  
State:  
Zipcode:  
Day Phone:  
Cell Phone:  
Email Address:  
Please enter ONE and only ONE email address.
Website URL:  
New Password:  
Confirm Password:  
Please DO NOT use spaces in your password. They will be removed.
Comments:  
(If you have been appointed as a new UIC and have been asked to sign up online, please indicate the name of the Director or UIC that appointed you and provide your title in the box above.)