e-Signature Agreement

Please read the below listed terms.  To continue, click on the "I Agree" button.

By clicking on the "I Agree" button below, I:

  • Agree to conduct transaction by electronic means with the Commonwealth of Pennsylvania (Commonwealth), and hereby apply for a User ID and Password for that purpose;

  • Agree that my User ID and Password will be my electronic signature. When my User ID and Password are used to create, generate or send an electronic record or transaction, they will identify that record or transaction as mine;

  • Agree that because an electronic record or transaction undertaken with my User ID and Password will be attributed to me, I must keep them secure. I will not disclose my User ID and Password to another person, and I will not allow another person to gain access to my User ID and Password;

  • Agree that the laws of the Commonwealth will apply to all electronic transactions with the Commonwealth;

  • Understand that a record or signature may not be denied legal effect or enforceability solely because it is in electronic form and;

  • Agree that the Commonwealth's place of business will be deemed to be in Harrisburg, Pennsylvania.

I declare under penalty of perjury that all of the information I have provided on this form is true, correct and complete. I acknowledge that false statements on this form are punishable pursuant to 18 PA. C.S.A. ยง 4904 (unsworn falsification to authorities).