User Registration
Type of Access Required:
Vendor
Billing Agent
Which access is right for me?
Vendor ID:
(13 digits required)
Vendor ID is required
Vendor ID must be 13 numeric digits.
E-mail Address:
(Example: vendor@fuelcompany.com
Email address is required
Retype E-mail Address:
Email addresses do not match. Please verify and re-enter.
Contact Person:
A contact Person must be given
Phone Number:
(10 digits)
A contact Phone number must be given
Phone number must be 10 digits.
Note: Password must begin with an alpha character, have at least 2 numbers and be at least 6 but no more than 8 characters long. Passwords must be reset every 90 days. If you need help with a password, call 1-800-248-2152.
Enter a password:
Your password must begin with an alpha character, be between 6 and 8 characters in length, and contain at least 2 numeric characters
Retype password:
Passwords are required
Your passwords do not match. Please re-type them.
Providers and Billing Agents must enter the SSN or IRS EIN that is registered with your DHS Vendor Number. This required to validate your identity:
SSN:
(OR)
IRS EIN:
SSN must be 9 digits
EIN must be 9 digits
Select a security question and provide an answer:
Security Question:
What is your mother's maiden name?
What street did you grow up on?
What is your city of birth?
What is your father's middle name?
What high school did you attend?
Answer:
Please answer the security question