Registration

  1. For the best experience, do not use the refresh, stop, back or forward buttons on the browser and only single-click buttons within a page.
  2. An asterisk (*) indicates a required field. You will be alerted if the required information has not been entered.
  3. For your security, all communications are encrypted and you will be logged out automatically if you are inactive for more than 60 minutes.
  4. We recommend the latest version of Microsoft Internet Explorer for Windows, Mozilla Firefox for Mac or PC, Apple Safari for Mac or PC or Google Chrome for Mac or PC with JavaScript enabled and pop-up blocker turned off to use this site. Please see your browser's help file for more information.

Organizations

Organizations represent official groups that you have affiliation with as a MA Responds user. Click the Select Organizations link below to see a complete list of organizations and select those you want to join.

Account Information

Creating an account is the first step in the MA Responds registration process. You will use your account username and password each time you log into MA Responds.

The username must be at least six (6) characters long and cannot contain spaces. Acceptable characters include alphanumeric (A-Z, 0-9) and the symbols @, ., -, and _. Usernames are not case sensitive.






Terms of Service and Privacy Policy

Required field Terms of Service:


Required field Information Pledge:


Required field Background Check Consent:


Name and Address

Example: Dr., Col., Mr., Mrs., Ms.





Example: Jr., Sr., MD., PhD, RN















Identifying Information


SSN is used to verify certain licensure information and for identification purposes.






Contact Information

Primary Email Address
If you have an email account, it is important for you to provide this information. Without your email address, you may miss important messages and notifications. Please note that the system will not allow two accounts with the same email address. If you do not have an email address or your email address is already registered with the system, you can learn more about obtaining a free email address by clicking here.
Add Email Address
Contact Method 1

x




Add Another Contact Method

Occupation Information

Driver's License Endorsements

Indicate all driver's license endorsements for operating motorized vehicles.

Licensed to operate:


Are you certified to transport hazardous materials?


Registration Feedback

if Other/Website, please specify in the comments.