User Access Request

User Access Request

EMResource / EMTrack / WebEOC
Full Name *

First Name Last Name
Phone Number *

Area Code Phone Number
E-mail (must be facility email address) *
Single or Multiple Facilities *

Single Multiple - Lisa will contact you
Provide four numbers *
These cannot be sequential. Can be last 4 of your social or employee ID number.
Job Title *
Employer *
Division / Department *
Name of your Direct Supervisor *
E-mail of your Direct Supervisor *
Which applications do you need access to? *

EMResource EMTrack WebEOC
If you selected EMResource, what access level is needed?

Update View Only
Update: Ability to change the status of a facility and run reports.

View Only: Has access, but unable to change the facility status or run reports.
Should be Empty: