Temporary registration certificate If you are conducting temporary business and need a Temporary Registration Certificate, complete and submit the form below. We will respond to your email request within 2 business days. You will receive: a confirmation message with your Unified Business Identifier (UBI)/Account ID via email. your Temporary Registration Certificate by mail at the address provided below. Complete the form and click "Submit." * Indicates required field UBI/Account ID (if previously issued) (Example: 123456789) Name of business (if applicable) Name of business owner * Email address of person completing this form * Business phone * Type of business * (Example: sole owner, association, partnership, corporation, limited liability company) Mailing address * Country United StatesCanada Street * Street City * City State * State - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Province * Province - Select -AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaOntarioPrince Edward IslandQuebecSaskatchewanNorthwest TerritoriesNunavutYukon Zip * Zip Postal code * Postal code First date of event * (Example: MM/DD/YYYY, 01/14/2002) Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Last date of event * (Example: MM/DD/YYYY, 01/14/2002) Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Name of event * Location of event * Type of goods sold/services provided * Reset
