Register

Enter your information below to register a new account for the Licensed Midwife Annual Report system. If you have already registered and did not receive your registration confirmation email, please check your email's spam/junk folder and ensure that the email domain mbc.ca.gov is whitelisted in your email filter settings. If you have already registered and need a new registration confirmation email sent to you, please proceed to the Resend Confirmation Email page.

Create a new account

User Name

Usernames cannot have a space

License Number

Last 4 Digits of Social Security Number

Date of Birth

Password

Password must contain 8-10 characters, 1 upper case, 1 lower case, 1 number, and 1 special character from the following: @$!%*?&

Confirm Password