Claimant Registration

Claimant

Select Account Type

First Name

Last Name

Select Address Type

Street Address

Zip

City

Province / State

Street Address

Postal Code

City/Town/Locality

Country

Confirm Email

Phone Check if foreign phone number

Business Name

Select Address Type

Street Address

Zip

City

Province / State

Street Address

Postal Code

City/Town/Locality

Country

Confirm Email

Phone Check if foreign phone number

User Name:

Password Passwords must be between 8 and 26 characters and contain at least one number, uppercase letter and special character (e.g. $,\&.#!).

Confirm password Passwords do not match

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