Get User Id Request Form - Department Of Health And Environmental Control - Dhec Sc

Completing the User Id Request Form online is a straightforward process that requires careful attention to detail. This guide provides a clear and comprehensive overview of each section of the form, ensuring that users can effectively submit their requests for access.

Follow the steps to complete your User Id Request Form online.

1. Click ‘Get Form’ button to obtain the form and open it for filling.
2. Enter today's date in the designated field to indicate when you are submitting the request.
3. Provide your full name in the following format: First, Middle Initial, Last, and any applicable suffix (e.g., Jr., Sr., II). Ensure this information is printed clearly.
4. Select and provide one form of identification by entering your driver's license number or your social security number. Ensure the details provided are accurate.
5. Indicate your office association, specifying the name of your office or organization, such as the Coroner's Office or a medical facility. Be sure to include the complete office address without using a P.O. Box.
6. Fill in your office telephone number, including the extension if applicable, to allow for follow-up communication.
7. Provide your official email address as well as any secondary or third email addresses, if relevant, ensuring they are printed clearly.
8. Check the box that best describes your job functionality, selecting from the listed roles such as Clerk of Court, Funeral Home Staff, or Medical Examiner.
9. If applicable, provide your supervisor's name and contact information, including their official email address and telephone number.
10. Indicate whether you want your office staff to have access to the ‘Electronic Signature’ page by selecting 'Yes' or 'No.'
11. Enter your professional license number if needed and fill in the term length, including start and end dates for your request.
12. Review all the information provided for accuracy before submission.
13. Once you have completed filling out the form, save your changes, and choose to download, print, or share it as necessary.

Start filling out your User Id Request Form online today to get the process started.