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Please Review: Each section of the online form corresponds to the
instructions provided in the sidebar of this web page. Click any section in the
sidebar to review these instructions at anytime.
Agency: Select the Agency that this request is for.
Effective Date: Select the date that this request needs to be processed.
Type of Request:
Single or Multiple users:
Access Groups and Distribution Lists Required?
Enter any additional comments in the text box that you feel may assist in the approval
and/or the processing of this request.
“Requester's First Name” through “Requester's Zip” fields - Input
your contact information in the fields provided.
Agency Approver's Email (1-4): Input up to 4 email addresses for your
Agency's Authorized Account Request Approvers. Agency Authorized Account Request
Approvers consist of AITRs, ISOs, and Designees. When this form is submitted, those
individuals listed within these fields will receive an email from you via the COV
Account Request Website to approve or deny the request.
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