Accela Automation(AA) User Account Request Form for Vendor or Consultant
REQUEST(ChooseOne):
Self On-Behalf
New User
Existing User Reactivate
Existing User Remove
First Mi Last
Company
JobTitle RequestPeriod
ContactNumber EmailAddress
SponsorDepartment
intheCity
ProjectName
ContactPersonin
theCity
JobTitle
Sponsor’sContact
Number
Sponsor’sEmail
Address
ENVIRONMENT
Production
Support
MODULE
Building Enforcement Planning
Fire
PURPOSEANDNEED:
ApprovedBy
Name__________________Signature_________________Date___________
DepartmentHead
Name_____________________Signature___________________
Date____________
BuildingOfficial
Name_____________________Signature___________________
Date____________
PlanningDirector
PleaseemailtoAccelaUserRequest@oaklandca.govonceyoufilltheformout.Thefollowinginformationwillbeprovidedtoyou
byAdministratorviaemail.
UserID
Password Environment URL
Support
Production av.supp.accela.com\av.accela.com
Newuseraccounts:User must change Password at next Log in, Password need to reset every 6 months
RequestBy___________________RequestDate___________
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit