Get Mi-choice Information System - Region 3b - Region3b

This guide provides detailed instructions on completing the MI-Choice Information System - Region 3b - Region3b form online. By following these steps, users will be able to successfully fill out the required information needed for vendor enrollment.

Follow the steps to successfully complete your enrollment form online:

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in the vendor name, entering the complete name of your business.
3. Indicate whether you are a Vendor View user with another agent by marking yes or no on the provided checkbox.
4. Input the vendor address, including street address, city, state, and zip code.
5. Provide the vendor telephone number.
6. Enter the name of the vendor contact person, the designated individual for communications.
7. Fill in the contact person’s telephone number.
8. Enter the email address of the contact person for correspondence.
9. Indicate the type of vendor connection by choosing internet if applicable; provide a fax number if needed.
10. For User #1, enter the name and email address of the primary user, confirming if they should receive new notice emails.
11. Create a unique password for User #1, adhering to the provided guidelines.
12. For User #2, enter the backup person's name and email address, repeating the process for notification and password creation.
13. Ensure to provide any additional users' information on a separate sheet if necessary.
14. Once completed, review all entries for accuracy, and then save changes, download, print, or share the form as needed.

Complete your vendor enrollment form online today!