Get Omb Control Number: 2105-0564

This guide provides step-by-step instructions for filling out the OMB Control Number: 2105-0564 online. It aims to assist individuals seeking access to the U.S. Department of Transportation's Delphi eInvoicing system through the User Account Application.

Follow the steps to complete the User Account Application.

1. Click the 'Get Form' button to access the online version of the form and initiate the completion process.
2. Fill in your applicant name by entering your full legal name in the designated field.
3. Enter the legal name of the organization you represent in the organization field.
4. Provide your work address, including street address, suite, room, and any relevant mail routing information.
5. Input your work city name in the city field.
6. Select your work state or province from the provided options.
7. Enter your work zip code or postal code in the corresponding field.
8. Fill in your work phone number, ensuring to include the extension if necessary.
9. Provide your work email address as this will serve as your login credential.
10. Enter your home address in the home address section, ensuring it matches the ID you will later present.
11. Complete the home city name field with your residential city.
12. Select your home state or province from the provided options.
13. Input your home zip code or postal code in the designated area.
14. Provide identifying information by entering the ID number from the government-issued identification.
15. Enter the name of the government issuing authority for your ID.
16. Fill in the expiration date listed on your identification.
17. Enter the unique 5-digit PIN from your email invitation in the designated section.
18. Affix your signature in the applicant signature field to validate your information.
19. Have a notary public validate the identifying information, sign, and affix their seal in the designated area.
20. Once completed, mail the form via certified mail, such as USPS, UPS, or FedEx, to the specified address.

Complete your forms online today for a smoother application process.