url('/account/setup-bia-account'), 'method' => 'post', 'id' => 'bia_form')); ?>
BIA Assessor Account Information

Use this form to setup your BIA Assessor Account by entering in your mailing address and contact phone number. All fields are required. Click Go when ready.


Name
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E-Mail Address
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'width: 95%;', 'autofocus' => 'true', 'data-placeholder' => 'Address Line 1', 'data-required' => 'true')); ?>
'width: 95%; margin-top: 0.5em;', 'data-placeholder' => 'Address Line 2')); ?>
'width: 171px; margin-top: 0.5em;', 'data-placeholder' => 'City', 'data-required' => 'true')); ?> 'width: 60px; margin-top: 0.5em;', 'data-placeholder' => 'ZIP', 'maxlength' => '5', 'data-required' => 'true')); ?>
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'width: 150px;', 'data-placeholder' => '###-###-####', 'data-required' => 'true')); ?>
This information will be used only by the OSAA staff in order to process payments or contact you regarding your reconciliation forms.


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'width: 175px;', 'data-required' => 'true')); ?>
This key code is not your password. This key code is required to establish your OSAA user account as a BIA Assessor Account. For assistance, contact Brad Garrett, or call (503) 682-6722 x229.