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Request Account

Request Account

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Please complete this form. We will create an account for you. Thank you.

Fields with * are required.

Enter your name as you want it to appear on your submitted reports

This must be an agmd.org email address

Use the first 6 digits of the head of household account

Enter your requested password

Reenter your requested password

Please enter the letters as they are shown in the image above.
Letters are not case-sensitive.