IRTH Web Access for UPC Utility Members

NOTE: If you do not require web ticket entry access, please complete this form and one of our staff will email you the information regarding your account.

If you DO require web ticket entry access, a mandatory training class is required prior to receiving your account information. Please DO NOT submit this form unless you have been instructed to do so after you have attended a training class. You will not receive any account information until after we have received notification of your training class attendance and submitted the required form at that time.

*ALL FIELDS ARE REQUIRED!*
First Name:
Last Name:
Organization:
Street Address:
City:
State:
Zip:
Work Phone:
Fax Number:
E-mail address:

Please provide your UPC member code(s) in the space provided below, separated by commas:

What access do you require?:
	Positive Response
	Ticket Entry (requires training)
	Service Area Map Access
	All of the Above

Please enter your initials:

Questions? Call Member Services @ 770.623.5786