eAuthentication Account Creation

Form Approved OMB No. 0503-0014

Step 1 of 4 - Level 1 Access Account Registration

USDA customers should complete the information below to create a USDA eAuthentication account. Please read the eAuthentication Privacy Act Statement and Public Burden Statement for more information on how your personal information will be protected.

All required fields are red and marked by an asterisk (i.e. * ). Enter your first and last name exactly as it appears on your Government issued photo ID (e.g. state driver's license).

Note: The characters < > ^ | are not allowed on this form.

User Information ?

Required Field*

First Name*

Middle Initial

Last Name*

Contact Information ?

Email*

Confirm Email*

User ID*

User ID complexity requirements:

No less than 6 characters
No more than 20 characters
Only special characters .-_@ allowed
Special characters not required.
No spaces allowed
User ID cannot begin or end with a period

Password*

Your password must include at least 12, but no more than 24 alphanumeric and special characters with no spaces, including at least:

12-24 characters
One number
One uppercase letter
One lowercase letter
One special character ! # $ - % = + : ; ? ~ *
No spaces
Dictionary words may not be used in passwords
The previous 24 passwords may not be re-used

Confirm Password*

Security Questions ?

Please select and answer four distinct questions from the selections below. This information will be used to validate your identity if you forget your password. Each question may only be used once. For additional assistance, click the ? above.

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