Tripler Army Medical Center CHCS / AHLTA Account Creation Request Form TAMC Form 30 For use only when e30 is unavailable Email completed form to Email completed form to USARMY. SIGNATURE DATE TRUSTED AGENT NAME/SIGNATURE if any DATE SUBMITTED TO BE COMPLETED BY ACCOUNT MANAGER CHCS ACCESS CODE VERIFY CODE AHLTA USERID PASSWORD INSTRUCTION SET CHCS ONLY Primary Menu FIRST TIME AHLTA LOGON AHLTA Group/Keys assigned Secondary Menus FM/Security Keys/.
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How to fill out the Tamc Form 30 online
Filling out the Tamc Form 30 online is a crucial process for creating or modifying accounts related to clinical systems at Tripler Army Medical Center. This guide provides clear, step-by-step instructions to help you navigate the form with ease.
Follow the steps to complete the Tamc Form 30 accurately
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Review the system options at the top of the form. You must select whether you require a CHCS, AHLTA, or BOTH account.
- Indicate your user status by selecting one of the following options: New Account, Modify Account, Terminate Account, Forgot Codes, or Returned from Deployment.
- Fill in your legal name, including the last name, first name, and middle initial as required. Provide your duty phone number and social security number.
- Enter your date of birth in the provided field. If you have an AHLTA account from a previous location, select ‘Yes’ and specify the location and previous AHLTA username.
- Select your status and role. Depending on your status, you may need to fill in your rank or specialty position.
- Provide information about your branch, corps, department/service, and specialty details according to the hints provided in the form.
- If applicable, check the menu options based on user role/position and indicate if you require read-only access.
- Complete the training section by indicating whether you have completed, registered, or scheduled training and provide the course details.
- Include supervisor or sponsor verification, along with their name, duty phone number, signature, and date.
- Fill in the trusted agent name (if applicable) and the date submitted.
- Leave the section labeled ‘To be completed by account manager’ for the relevant authority to fill out after submission.
- After ensuring all required fields are complete, save your changes, and download or print your completed Tamc Form 30 as needed.
Complete your Tamc Form 30 online today to ensure efficient processing of your account.
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