Follow the steps to complete your access request effectively.

1. Press the ‘Get Form’ button to access the LVRO Access Request online and open it in your document editor.
2. In Section I, provide your user information. Fill in your last name, first name, middle initial, county or city health office, work telephone number, title and credentials, and email address. Ensure that all information is accurate and complete.
3. Proceed to Section II and indicate the type of request you are making by checking the appropriate box. You can choose to create a new account, add a role, change a role, change your ID, delete a user account, or update a user’s name.
4. In Section III, specify the SVRIS roles you are requesting. For each role, indicate if you would like to add or delete the role. For example, roles may include Admin, County SWI, City SWI, or Marriage, along with their associated functions.
5. Section IV requires you to print your supervisor's name and telephone number. Ensure your supervisor also provides their signature along with the date.
6. In Section V, carefully read the confidentiality agreement. You must print your name, sign, and date the agreement to confirm your understanding and acceptance of the terms outlined.
7. Finally, complete Section VI, which is designated for SVRO use only. This section will be filled out by the SVRO personnel.
8. Once all sections are completed, save any changes made to the document. You can then download, print, or share the completed form as necessary.

Complete your access request online to ensure a prompt response to your application.