User Access Request Form Client Number: Client Number is required Email Email is required Please enter a valid email address. Password Password is required 1. Passwords MUST have at least 16 characters 2. Must not contain any dictionary words (e.g. “Password”, “Spring”, “Michael”) 3.Must contain characters from all following four categories: o Uppercase characters: A through Zo Lowercase characters: a through zo Base 10 digits: 0 through 9o Non-alphanumeric characters: ~!@#$%^&*_-+=`|\(){}[]:;'<>,.?/ Confirm Password Confirm Password is required! Your passwords do not match up! First Name First Name is required First Name should not match with password Last Name Last Name is required Last Name should not match with password Title Telephone Extension Please enter just the numeric value. Support Access Individual Facility LMS Access