Get Request For Security Access/portal Account - Achd

This guide provides clear and supportive instructions for filling out the REQUEST FOR SECURITY ACCESS/PORTAL ACCOUNT - Achd form online. By following the steps outlined below, you will be able to accurately complete your application and gain the necessary access.

Follow the steps to successfully complete your application process.

1. Press the ‘Get Form’ button to obtain the REQUEST FOR SECURITY ACCESS/PORTAL ACCOUNT - Achd form and open it in the editor.
2. Enter the date of your request in the designated field at the top of the form.
3. Indicate your preferred reporting option by selecting either AES*Online or AES*XML. Note that you may not select both options.
4. If you are a submitter, enter your PIN number, which should consist of 4-10 alphanumeric characters.
5. In the site data section, fill out the name of the site (facility), primary facility ID, street address, city, state, and zip code.
6. In the user data section, provide your name (first, middle initial, last), user title, name of company, mailing address, city, state, zip code, telephone number, and email address.
7. Select your user security role for the site by checking the appropriate box: Reader, Editor, or Submitter. Only one role can be selected.
8. After completing the form, review all provided information for accuracy before proceeding to save your changes.
9. You may then choose to download, print, or share the completed form as needed.

Complete your REQUEST FOR SECURITY ACCESS/PORTAL ACCOUNT - Achd online today.