RegisterLethality Assessment Program

First Name

Last Name

User ID

(Please don't use the characters !, &, ", ', or ()

Select Agency

(Departments/Troopers select your Town/Troop, Agencies select your Agency)

Telephone Number

(Please enter just 10 numbers ##########, no -)

Email

(Please enter a valid Email address jsmith@email.com)

Password

(Minimum 6 to Maximum of 16 characters)

Confirm password

(Must be the same as the password above)

Register