Customer Portal User Enrollment Form

Please be sure to enter the full name, email address and select the correct access group for the super user.  Refer to the Access Group Key at the bottom of the page for descriptions of each access group. Each user must be allocated to an access group.

Identify a Super User

The "Super-User" is the key contact, responsible for authorizing the setup of each user and approving any changes or additions to the user group. Please be sure to enter the full name, email address and select the correct access group for the super user.

List Additional Users

Each customer may have multiple users setup to access the customer portal. Enter any additional user data below for each individual to have access in our customer portal. Please be sure to enter the full name, email address and select the correct access group for every individual listed. Each user must be associated with an access group to view certain data and functionality in the customer portal. Refer to the key at the bottom of the page for descriptions of each the access groups. Each customer can have as many user accounts as needed, please check the box below if more user accounts are needed.