Town of Vernon, CT
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Public User Registration *Indicates Required fields Step #1: Enter your Email address Step #2: For Public Users...Complete this section. Step #3: For Contractors Only...Complete this section Step #4: Create a Login password Step #5: Click Submit to complete this registration
License Exp. Date:
Insurance Exp. Date:
HIC Exp. Date:
*Email Address:
*Confirm Email:
*Individual Name:
Business Name:
*Address:
*City:
State:
Zip:
*Phone #:
*Company Name:
HIC License #:
*Individual Name:
*Address:
*City:
State:
Zip:
*Phone #:
*Insurance Carrier:
*License Type:
*License #:
*Workmans Comp #:
 
Check if self-employed
*Password:
*Confirm Password:
 
Email Registration Confirmation