User Resource Form
Please enter the data below and register your system in our Network.
After Registration you can log in and edit information about your system.
*denotes required information.

System Information
You are in the District.
System Name: *
Type (check all that apply): *
Water Wastewater
Gas Electric

Phone: *
Fax:
Email: *
Mailing Address:
City:
County: * State: Zip:
check to use same as Mailing Address
Physical Address:
City:
County: State: Zip:


Login Information

Create the Main Admin User for this System. (You may create other users later.)
username: *
password: *   password strength
re-enter password: *

Contact Information

Main Contact
Name * Position Email
Phone Numbers: Work Home Cell

Alternate #1 Contact

Name Position Email
Phone Numbers: Home Cell

Alternate #2 Contact
Name Position Email
Phone Numbers: Home Cell


Does your Utility System have a signed Mutual Aid Agreement in place with another entity?
Yes     No
If yes, please mail or email a copy.
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