Follow the steps to complete the Bmicos Portal form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling in your principal investigator name. Ensure that you type or print clearly to avoid any communication issues.
3. Provide your UCLA-based email address. Remember that due to the sensitive nature of DLAM communications, a UCLA email is necessary for the account creation.
4. In this section, include the names of any additional group members if you wish to grant them access to create or modify animal order data. Specify if an added member should have animal ordering privileges or if they should have view-only access.
5. If you need to remove access for an existing group member, include their name and check the ‘Remove Access’ box.
6. Sign the form in the designated area for the principal investigator signature to validate your request.
7. Fill out the date when you are submitting the request for your records.
8. Once you have completed the form, save your changes, and be prepared to submit it via email or fax to the designated contact.
9. You can send the completed and signed eSirius Account Request Form via email to Analyn Cates at acates@mednet.ucla.edu or via fax at (310) 794-0164.

Start the process of completing the eSirius Account Request online today!