NMBAR

Create a Provider User Account

Provider Lookup

Search and select a Provider you are associated from the search list. If you are unable to find a provider via search, click on the Create New Provider button below (when the Provider Lookup returns no results) to create a new Provider record along with the User Account.

Provider Name

Basic Information

Email Address

Password

Confirm Password

First Name

Middle Name/Initial

Last Name

Suffix

Job Title

Organization Name

Address of Record

The information under Address of Record will be published in the annual Bench & Bar Directory and on the State Bar Web Site. This information will be disclosed to the public upon request. phone, fax, email and website address will be published if provided. Rule 24.102.1(A)(2) NMRA

Mailing Address

City

State/Province

Zip/Postal Code

Country

Work Phone

Work Extension

Fax

Home Phone

Website

http://

Create a Provider User Account

The following required fields are missing: