Los Angeles County Substance Abuse Prevention User Registration Form
This document is the official user registration form for Los Angeles County Substance Abuse Prevention and Control (SAPC). It includes sections for new registration, update prior registration, and revoke registration, among others. It's crucial for agency staff to fill out correctly to prevent delays.
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How do I fill this out?
Filling out this form accurately ensures timely processing. Make sure to have all necessary information ready before you start. Follow the detailed instructions provided in each section of the form.
How to fill out the Los Angeles County Substance Abuse Prevention User Registration Form?
1
Print the form or open it in a PDF editor.
2
Enter your personal and agency information in the designated fields.
3
Select your user type and provide additional site locations if necessary.
4
Sign the form and obtain the required approvals and signatures.
5
Submit the completed and signed form according to the provided instructions.
Who needs the Los Angeles County Substance Abuse Prevention User Registration Form?
1
Agency staff updating SBAT bed/slot availability.
2
Executive-level staff needing access to the SBAT Availability Dashboard.
3
General users requiring access for site locations.
4
Directors responsible for approving user registrations.
5
Los Angeles County employees, contractors, vendors, or other authorized IT asset users.
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What are the instructions for submitting this form?
Submit your completed and signed form by emailing it to sapc_app_support@ph.lacounty.gov with the subject line 'SBAT User Registration Form (Agency Name)'. For any questions, contact the Help Desk at (626) 299-4546. Make sure all sections of the form are filled out accurately to prevent delays in processing.
What are the important dates for this form in 2024 and 2025?
Ensure you submit your completed forms for the year 2024 before January 31st, 2024, and for the year 2025 before January 31st, 2025. Timely submission guarantees uninterrupted user access and compliance with County regulations.
What is the purpose of this form?
The purpose of this form is to facilitate the proper registration, updating, or revocation of user access for the Los Angeles County SBAT system. This process is essential for maintaining accurate availability information, ensuring appropriate access levels for agency staff, and upholding the confidentiality and secure use of County Information Technology assets. By filling out this form accurately, agencies can ensure efficient and timely processing, thereby supporting the overall mission of the Substance Abuse Prevention and Control program.
Tell me about this form and its components and fields line-by-line.
- 1. Name: Includes fields for first and last name of the user.
- 2. Email Address: Requires the user's official email address.
- 3. Agency Information: Includes fields for agency name, address, and work phone number.
- 4. User Type: Allows selection of either General User or Admin User, with descriptions for each.
- 5. Site Locations: Lists addresses of all site locations for which SBAT access is needed.
- 6. Signatures: Requires user's signature and director's signature for approval.
- 7. Processing Section: Reserved for SAPC processing details including dates and processing agent.
- 8. Agreement for Acceptable Use: Section outlining the terms for acceptable use of County IT assets, including employee and manager signatures.
What happens if I fail to submit this form?
Failure to submit this form will result in delayed processing and potential removal of user access to the SBAT system. Ensure the form is fully completed and submitted on time.
- Processing Delays: Incomplete forms will delay the processing of your request.
- Access Revocation: Users may lose access to the SBAT system if the form is not submitted correctly and on time.
How do I know when to use this form?
- 1. New Registration: For registering new users to access the SBAT system.
- 2. Update Registration: To update information or access levels for existing users.
- 3. Revoke Registration: To revoke access for users who no longer require it.
- 4. User Information Changes: When there are changes to user or agency information that need to be reflected in the system.
- 5. Access Security: To ensure only authorized users have access to sensitive information and systems.
Frequently Asked Question
What is this form for?
The form is for registering, updating, or revoking user access for the SBAT system within Los Angeles County.
Who needs to fill out this form?
Agency staff, executive-level staff, and authorized IT asset users in Los Angeles County need to fill out this form.
How do I submit the completed form?
Submit the form by emailing it to sapc_app_support@ph.lacounty.gov with the subject line 'SBAT User Registration Form (Agency Name)'.
Can I edit this form online?
Yes, you can edit this form using PrintFriendly's PDF editor.
How do I sign this form electronically?
Use PrintFriendly’s PDF editor to click on the signature field, and either draw or upload your signature.
What happens if my form is incomplete?
Incomplete forms will result in a delay in processing your request.
Can I share this form after filling it out?
Yes, with PrintFriendly, you can share the completed form via email or by generating a shareable link.
What information do I need to fill out this form?
You will need your personal information, agency details, user type selection, site location addresses, and necessary approvals.
Is my information secure with this form?
Yes, ensuring the confidentiality of your information is crucial. Follow the guidelines provided in the form.
Can I download the form after editing it?
Absolutely, once you have made all necessary edits, you can download the form from PrintFriendly.
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