Oklahoma ODWC License - Create Customer

All fields indicated with an ( * ) are required

Personal Identifiers

Residency *

Customers 18+ must hold a current, valid Oklahoma Driver's License / ID for a minimum of 60 days to be classified as a Resident
View Residency Requirements

U.S. Citizen

NON U.S. Citizen

First Name *

Middle Name

Last Name *

Suffix

Document Type: *

Number: *

Issuing State: *

Last 4 of SSN: *

Demographics

Gender *

Birth Date (MM/DD/YYYY) *

Height-ft: *
Height-in: *

Contact Information

Email: *

Primary Phone: *

# -

Secondary Phone:

# -

Physical Address

Is this a non-U.S. Address? No Yes

Street *

Apt / Suite / Other

City *

State *

Zip Code *

County *

Country *

Different Mailing Address

Physical Address Confirmation

Mailing Address Confirmation

Account Found!

Verify your Oklahoma Residency Status

Additional Items Will Be Removed