![]() ![]() The online form also identifies the access administrator as well as the backup access administrator(s). In the case of medical certifiers, the certifier should be the signatory and use his/her own name and title as the name of the Organization/Entity. The signatory level authority at your organization should read and sign the Services Agreement. Register a New Virtual Gateway Organization online form located at defines the terms that apply to the organization’s access to the Virtual Gateway services.User accounts will be created for each username provided to access the VIP system, once the Registry has received all the signed agreements. User account processing takes up to 10 business days.Ī brief purpose of each agreement follows: Just a reminder: the information collected through the VIP system is highly sensitive therefore, it is imperative for the appropriate users to sign the legal agreements in order to gain access to the VIP system. Fill out a User Request Form listing all of the organizations users and Email it to Have each user sign a VIP User Confidentiality Form and Email the forms to your organization has multiple locations that are all run under the umbrella of the main organization you will need to fill out a Sub Organization Form XLS listing the primary location and all sub-organizations/locations. A separate User Request Form will need to be submitted for each location to specify which users have access to each individual location. Each individual user will need to fill out and sign a VIP User Confidentiality Form PDF | ( DOC).Go to Register a New Virtual Gateway Organization and complete the form.The enrollment process requires funeral homes, crematories, medical facilities, boards of health, and city/town clerks’ offices to have a signatory sign several agreements and fill out one electronic document in order to use the new VIP Deaths Module. ![]()
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