Application Registration Help
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Field   Content Required
User Name   A unique name that you will use to access the system. Begin with a letter,
and use only letters (a-z), numbers (0-9), and the underscore(_), and no
spaces. The user name is not case sensitive.


Password   Must be at least (7) characters long,contain at least one number (0-9), and
at least one uppercase and lowercase letter (A-Z, a-z), but no spaces. Must
not contain the User Name, or your first or last name. Make sure it is difficult for
others to guess! The password is case sensitive. Good passwords should be
easy to remember, but difficult for others to guess. Consider using numeric
sounds in place of aural sounds to create words or phrases. For example, if
you dislike the winters, a good password might be ih8theCold.


Password Confirmation   Because the password is displayed on your screen as a series of asterisks,
retyping it ensures that your account is created with the correct password.


Password Hint   A password hint is a short phrase that will help you to remember your
password in the event that you forget it. Continuing with the password example earlier,
an appropriate password hint might be I dislike winter.
Field   Content Required
Prefix   The title that preceeds your name. If you feel an option
has been omitted, please let us know


First Name   Enter your first name (also known as your given name).

Middle Initial(s)   List one or more of your middle initials.

Last Name   Enter your last name (also known as your surname).

Suffix   Enter anything that traditionally follows your last name,
such as Jr., Sr., or IV.


Email Address   The email address where you would like to receive
Health Alerts sent by the Department of Health, and
confirmation of registration and delegation. No
confidential information will ever be sent to you by
email.


  If you do not have an email address, you can use
Hotmail to create one for free [ the hyperlink will open
in new window]


Telephone Number   A telephone number where we can contact you. Once
you register, you will be able to fill in additional phone
numbers, fax numbers, mailing and email addresses.
The extension field is optional.

Field   Content Required
Organization Name   Enter the name of the organization as it is registered with the Pennsylvania Department of Health.

Organization Type   Choose the type of facility where you work. Select the appropriate choice from the drop down list.

Street Address   Enter the address of the building where you work, as it might appear on an item sent in the mail. Although it is not required, you may wish to use both lines if you have a post office box, a rural route or a specific mail stop at a large facility.

City   Enter the name of your city.

County   Choose the name of your county. If you are entering an address that is out of state, please select Out of State from the list of choices.

State   Choose the name of your state. If you are entering an address that is out of the country, and not a US annex, please select Out of Country from the list of choices.
Zip Code   Enter your zip code.

Organization Telephone Number   Enter the main telephone number of the organization.