User Access Request

User Access Request

EMResource / WebEOC
Full Name*

First NameLast Name
Phone Number*

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

SingleMultiple - 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?*

EMResourceWebEOC
If you selected EMResource, what access level is needed?

UpdateView 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: