Getting Started on RSWeb

  Please Fill Out a Separate Form for Each User

 Company Name           Account Number                  

                 Requested For:                                                     Approved By:

                             First Name:                       First Name:

                             Last Name:                       Last Name: 

                    E-Mail Address:             E-Mail Address:

 :                   Phone Number:              Phone Number:   


    Computer Static Public IP Address: (Your network administrator can provide this.)

     Security Access Requested:   

     Special Restrictions and /or Instructions

    

     This form must  printed  and  faxed to 707-526-3012 for authorization to use the

     InfoStor Online Records Database

        Signature _______________________________  Date______________________