You can access the Account Recovery form from the password-assistance page by selecting "I don't know my password," entering your username, and clicking the link to verify your identity on the following page.

Go to http://accounts.google.com/signin/usernamerecovery and enter any email accounts or phone numbers that you've had for a while and which may have been used as recovery info. The “find your email” page can help you locate any forgotten Google accounts.

Enter your first and last name, date of birth, gender, the desired email address, and a strong password. Add a recovery email address and tap Next. Tap Skip when asked to enter your mobile contact. Review your account information and confirm your decision to create a Google account without a phone number.