Customized for Morongo Gaming Agency

Claim License
Please enter your current License details below and click on the Claim button to proceed. License numbers will have 4-5 numbers only, no letters. Please be sure to enter your License number with no spaces or dashes.
Last Name:   First Name:  
Date of Birth: (MM/DD/YYYY)   SSN:   Badge #:  
Email: Verify Email:  
Type the code from the image. Image code at the bottom is not case sensitive.

Best if viewed using IE 7.0 or higher with min screen resolution of 1024 x 768 or higher