Create FIRE System Account (continued)

Please complete the form below. You will need to supply the name you intend to use as your User ID, and a password.  If you wish to use special characters in your User ID, the following are allowed: _, /, @,  -, ', period, comma, and space.

Your password must be 8-20 characters with 1 uppercase, 1 lowercase, 1 numeric and 1 special character #?!@$%^&*.,'-. It cannot contain the User ID or User name.

Fields with an * are required