Fill out this form and you will be directed to pay for your ADIS using Paypal. Thank You
Instructions: Fill in the blanks or check the boxes for each question. Do not leave anything blank. These are all required fields (“minimal data set”) for the State of Alaska and continued funding is contingent upon compliance with this state requirement.
* If you do not already have a Paypal account, click on the link to continue as a guest without an account.