Your Organization

Please answer the following required questions.

Are you registering your entire organization or just a subgroup of it?

Organization

Subgroup in Organization

You must select either Organization or Subgroup in an Organization

Is your organization or subgroup a government agency with civil or criminal law enforcement authority?

Yes

No/Not Sure

You must select if your organization or sub organization has law enforcement power.

Email Domain

Please enter the following information. All fields are required.

Organization Country

Please select a Country

Organization or sub organization email domain

Please provide a valid domain

Enter the part of your email that is after the @ sign.

Organization Contact Form

Please enter the following information.

Your Details

First Name

Your First Name is required.

Last Name

Your Last Name is required.

Job Title

Your Job Title is required.

Primary Phone

Your Phone Number is required.

Ext

Secondary Phone

Ext

Work Email

@example.org

Your Work Email is required. It should not contain the domain name.

Organization Information

Organization Domain

Organization Name

Organization Name is required.

Subgroup Name

Organization Subgroup Name is required.

Organization Category

Organization Category is required.

Address 1

Organization Address is required.

Address 2

City

Organization City is required.

State

Organization State is required.

Zip

Organization Zip is required.

Country

Enter the range of external static Internet Protocol (IP) Addresses of your organizations work computer(s) below.

IP Addresses are required

Do you need access to Identity Theft (IDT) Data?

Yes

Organization Administrator Information

Same as your information

First Name

First Name is required.

Last Name

Last Name is required.

Job Title

Job Title is required.

Authentication Phone

Phone is required.

Ext.

Secondary Phone

Ext.

Work Email

@example.org

Organization Administrator Work Email is required.

Approving Authority Information

Same as your information

First Name

First Name is required.

Last Name

Last Name is required.

Job Title

Job Title is required.

Primary Phone

Phone is required.

Ext.

Work Email

@example.org

Work Email is required.

Comments

Do you have any other feedback you would like to share with FTC?

Agency User Information

Please provide the name and details for any known users (up to 10) who will regularly access the Consumer Sentinel Network.
Upon organization approval, each user will receive an email with instructions for logging in and completing their registration process.

First Name

First Name is required.

Last Name

Last Name is required.

Job Title

Job Title is required.

Primary Phone

Primary phone is required.

Ext

Secondary Phone

Ext

Work Email

@example.org

Work Email is required. Email addresses must be unique.

Add Another User

Confidentiality Agreement

This is your organization's Consumer Sentinel Network Confidentiality and Data Security Agreement.
Once you submit your application, you'll receive a confirmation email, which includes a copy of this agreement.
The Approving Authority of your organization has to manually or electronically sign this agreement.
Once your Approving Authority signs the agreement, please email it to customersupport@consumersentinel.gov.

Register Your Organization

Your Organization

Email Domain

Organization Contact Form

Your Details

Organization Information

Organization Administrator Information

Approving Authority Information

Comments

Agency User Information

User 1

Add Another User

Confidentiality Agreement

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