Get the access oasas external form

Description
NEW YORK STATE OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES OASAS EXTERNAL USER ACCESS REQUEST PART A TO BE COMPLETED BY THE PERSON TO BE GIVEN ACCESS Please Print Clearly To Avoid Delays in Processing the Form. Accurate Logons are Dependent Upon the Clear Spelling of the User s Name. SYSTEM ACCOUNT ADDED Initials APPLICATION ACCESS GRANTED ADDITIONAL COMMENTS/INSTRUCTIONS IRM -15 Rev 11/14 REFER ANY...
Fill & Sign Online, Print, Email, Fax, or Download
Fill Online
  • Fill Online
  • eSign
  • Fax
  • Email
  • Add Annotation
  • Share
access oasas external
Rate This Form

4.8

Satisfied

24

 Votes