Get Ny Form Ims-01 2012-2025

Completing the NY Form IMS-01 online is a straightforward process designed to facilitate user identification and system access requests for external users. This guide will provide you with detailed, step-by-step instructions to ensure a seamless experience.

Follow the steps to complete the NY Form IMS-01 online.

1. Click ‘Get Form’ button to obtain the form and open it for filling.
2. In Section 1, enter your agency name and OPWDD agency ID. Fill in your last name, middle initial, first name, title, work telephone number, and work address including street, city, state, and zip code. Finally, provide your agency email address.
3. Proceed to Section 2 and indicate if additional user IDs are required for multiple agency use. If applicable, fill in your OPWDD user ID request and specify any OPWDD application access requests necessary.
4. In Section 3, acknowledge the statement of use by reading it carefully. Check the appropriate box indicating whether you agree (Yes or No) and enter your OPWDD user ID. Create a new password and, if revocation is needed, select the relevant access from the dropdown menu.
5. Sign the statement of use in the designated space to confirm your understanding and compliance with OPWDD policies regarding computer, email, and Internet use.
6. Move to Section 4 for executive approval. This section must be signed and dated by the Executive Director or their designee, ensuring that they agree to the statement provided.
7. If necessary, proceed to Section 5 for secure application authorizer approval, completing it as required before submission.
8. Upon verifying that all information is accurate and complete, you can save changes, download a copy, print the form, or share it as needed. Ensure to follow the instructions provided for submitting the form to OPWDD IMS via the specified email or fax.

Complete your NY Form IMS-01 online today and ensure timely processing of your user ID and access requests.