Accela Automation(AA) User Account Request Form for Vendor or Consultant
REQUEST(ChooseOne):
Self On-Behalf
New User
Existing User Reactivate

Existing User Remove

First  Mi  Last 
Company 
JobTitle  RequestPeriod

ContactNumber  EmailAddress
SponsorDepartment
intheCity

ProjectName 
ContactPersonin
theCity

JobTitle 
Sponsor’sContact
Number

Sponsor’sEmail
Address

ENVIRONMENT
Production

Support

MODULE
Building Enforcement Planning

Fire
  
PURPOSEANDNEED:
ApprovedBy
Name__________________Signature_________________Date___________
DepartmentHead
Name_____________________Signature___________________
Date____________
BuildingOfficial
Name_____________________Signature___________________
Date____________
PlanningDirector
PleaseemailtoAccelaUserRequest@oaklandca.govonceyoufilltheformout.Thefollowinginformationwillbeprovidedtoyou
byAdministratorviaemail.
UserID
Password Environment URL
  Support
/
Production av.supp.accela.com\av.accela.com
Newuseraccounts:User must change Password at next Log in, Password need to reset every 6 months
RequestBy___________________RequestDate___________
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