Use the following form to setup access for your facility to upload and manage disaster prep resources.
Sign-Up Code*
Facility Name*
Address*
City*
State*
Zip*
Phone*
Email*
Contact Person*
Phone (if different from above)
Email (if different from above)
Make note of your username and password. Going forward, you'll use these to sign into the app as your facility.
Username* Only lowercase letters (a-z) are allowed.
Password*
Password (again, to verify)*