Get Data User Certification Request Form For Access To Open Exeter - Systems Hscic Gov

This guide provides an easy-to-follow approach for completing the Data User Certification Request Form for Access to Open Exeter. Ensure that you follow each step carefully to facilitate a smooth application process for your organization.

Follow the steps to complete the form accurately.

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred web browser.
2. Fill out Part A - Organisation Details, which includes entering the Organisation (ODS) code, name, address, post code, telephone, and fax numbers in the respective fields.
3. Complete the section for the Primary Contact by providing their name, email address, telephone number, and job title. Ensure that this is the same individual used in previous applications.
4. If the Primary Contact has changed, authorize the new individual by including the signature and printed name of the previous Primary Contact or Caldicott Guardian.
5. In the provided space, give a brief overview stating the purposes for which your organization requires access to data from NHAIS.
6. The Primary Contact must certify the application by signing and dating the section acknowledging the justifiable purpose for data access.
7. Proceed to Part B - Data User Certificate. Here, enter the Data User's name, email address, telephone number, and job title.
8. Tick the declaration confirming that you understand the confidential nature of the data and your responsibilities under the Data Protection Act, then sign and date this section.
9. The Access Control Manager section must also be filled out. This includes providing the ACM's name, email address, and telephone number, alongside signatures for authorisation.
10. Once all sections are duly completed, you can save your changes, download the form, print it, or share it with the necessary parties.

Complete the Data User Certification Request Form online to ensure timely access to the Open Exeter system.