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Get Wisconsin Donor Registry Recovery Organization User Access ... - Dhs Wisconsin
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How to fill out the Wisconsin Donor Registry Recovery Organization User Access Request form online
This guide provides a clear and supportive approach to completing the Wisconsin Donor Registry Recovery Organization User Access Request form. It is designed to assist users at all experience levels in navigating the online process efficiently.
Follow the steps to fill out the user access request form.
- Press the ‘Get Form’ button to obtain the form and open it in the appropriate editor.
- Select the appropriate reason for completing the Donor Registry Access Request. Choose one of the following options: 'Register Recovery Organization and activate user(s)', 'Add User(s) for Previously Registered Organization', 'Remove User(s)', or 'Change User Profile'. Ensure that only one option is selected per request.
- Enter the submission date in the designated field.
- Fill in the name of the recovery organization in the specified field.
- Provide the name of the recovery organization director, including their last name, first name, and middle initial in the appropriate fields.
- Complete the contact information for the director, including the street address, city, state, and zip code.
- Enter the telephone number for the director.
- Fill in the email address of the director.
- Input the WAMS ID assigned to the director.
- Provide the Federal Employer Identification Number (FEIN) for the organization.
- Register users by filling in the requested information for each individual (up to four). This includes their name (last, first, middle initial), WAMS ID, telephone number, email address, and their role as it relates to the donor registry.
- Once all necessary fields are completed, review the form for accuracy.
- After verifying the details, submit the completed form via email to Martha Mallon at Martha.mallon@dhs.wisconsin.gov or by fax to 608-266-8925.
Start filling out your form online today to ensure your organization's access to the Wisconsin Donor Registry.
Say 'yes' to becoming an organ and tissue donor! Complete a Wisconsin Driver License Application MV3001 or Wisconsin Identification Card (ID) Application MV3004​ Check the box ​indicating you wish to register as a donor.
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