register

New User Registration

The information you provide is necessary to process your request for access to the Minnesota Department of Public Safety secure application portal.

(All form fields are required)

Create User ID
Email:	Email is required. Please enter a valid email address.
Personal Information
First Name:	First Name required.
Last Name:	Last Name required.
Company / Organization:	Company / Organization is required.
Title:	Title is required.
Country:
Address:	Address is required.
City:	City is required.
State / Region:	State / Region is required.
Zip / Postal Code:	Zip / Postal Code is required. Please enter a valid zip / postal code.
Phone: (xxx-xxx-xxxx)	Phone Number is required. Please enter a valid phone number.

Supervisors Information
First Name:	First Name is required.
Last Name:	Last Name is required.
Title:	Title is required.
Phone: (xxx-xxx-xxxx)	Phone Number is required. Please enter a valid phone number.
Email:	Email is required. Please enter a valid email address.
Submit Request
	Type the characters in the picture below. Can't read the characters?
	All characters are required.

Minnesota State Fire Marshal