EMS Access Request Form
Please complete the form and click the submit button. You will be contacted by an EMS administrator with your EMS account information once your account has been created. There are software requirements that may need to be installed on your PC (the EMS administrator will let you know about this also).
If no middle name, please leave this blank
Health & Social Svcs
Community & Econ
Military & Veteran Affairs
Fish & Game
Alaska Court System
SOA Employee #
I am replacing someone who had EMS Access.
If replacing someone who had EMS Access, please provide name:
DOT&PF Web Manager