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Safety Basis Information System Account Request Form

To obtain a user id and password to access the Safety Basis Information system, please complete all required fields, indicated by an asterisk. We will provide a username and password to new account holders. Please allow several business days to process your account request. When your request is approved, you will be contacted with your account information.

* = Required Field
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* Choose from this drop down list. If your site name is not present in the drop down menu, please send an email to AUUserSupport@hq.doe.gov  with the site name you want to be added to the drop down list.
  
* Choose from this drop down list. If your facility name is not present in the drop down menu, please send an email to AUUserSupport@hq.doe.gov  with the facility name you want to be added to the drop down list.  
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    (xxx) xxx-xxxx
   
   e.g.name@domain.com
   
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Are you an account holder?
  If you have an account for the ORPS or CAIRS system user please type your user name into this text box. If you are not an existing user please type in your desired user name into this text box: 
Enter the code as it is shown: *