Get Ar Erave User Application Form 2024-2025

Filling out the AR ERAVE User Application Form is an important step for users who require access to the Electronic Registration of Arkansas Vital Events. This guide will provide clear and concise instructions to help you smoothly navigate the online form and ensure all necessary information is provided.

Follow the steps to complete the AR ERAVE User Application Form online.

1. Click the ‘Get Form’ button to obtain the AR ERAVE User Application Form and open it in the online editor.
2. Begin filling out the applicant's data section. Complete all required fields, marked with an asterisk. This includes your first name, last name, business address, city, state, zip, primary phone, and email address.
3. In the ERAVE roles section, list each group or location combination separately. Provide the relevant permission group and facility name or location, such as your funeral home or hospital.
4. If applicable, enter your license information in the license number section. This is mandatory for physicians, resident physicians, funeral directors, midwives, and hospice RNs. Ensure you also select the appropriate license type.
5. Review the agreement at the bottom of the form, which outlines the terms of use for the ERAVE system. By signing, you confirm your understanding and agreement to the outlined conditions.
6. Finally, sign and date the form electronically. Ensure all fields are accurately completed. You can then save changes, download, print, or share the form as needed.

Complete your AR ERAVE User Application Form online today to ensure all necessary information is submitted accurately.