Get Portal Security Access Form - Cvs Caremark Suppliers

This guide provides a comprehensive overview of how to complete the Portal Security Access Form for CVS Caremark Suppliers online. By following these instructions, users can ensure that they submit the form accurately and efficiently.

Follow the steps to fill out the form correctly.

1. Press the ‘Get Form’ button to obtain the form and open it in the appropriate editor.
2. Begin filling out the form by entering the company name and the CVS Supplier number. The CVS Supplier number is a 4-digit code starting with a letter followed by three numbers, which can be found on any remittance from CVS.
3. Provide the contact details of the primary requestor. Enter their name, phone number, and email address. Sign to acknowledge that this serves as an electronic signature.
4. Next, fill in the details for the secondary requestor in the same manner as the primary requestor, including their name, phone number, and email, and provide an electronic signature.
5. In the section for access acknowledgments, carefully read the terms related to supplier access. Your organization must comply with these terms once access is granted.
6. List the individuals who will access and utilize the CVS Supplier Portal by entering their last name, first name, middle initial, phone number, email, and role from the provided options. Each listed individual must sign to agree to the CVS Access Acknowledgment.
7. After completing the required fields, ensure that all information is accurate before submitting the form. If you need to submit additional documents (like the DEX Questionnaire), continue with the details provided in that section.
8. To finalize the process, click on the ‘Submit Form’ button in the upper right-hand corner. Alternatively, you may save the completed PDF and email it to the designated address.

Complete the Portal Security Access Form online to ensure timely processing of your request.