PRISM New User Account Form

Subscriber Information

* Indicates Required Information

You can use the TAB key to move between fields.

We do not share home or personal addresses, phone numbers, or e-mail.

First Name

Last Name

Mailing Address

Address Type

City

State Abbreviation

Zip Code

10-Digit Phone Number

Extension if applicable

Phone Type

E-Mail

E-mail Type

Organization Information

Information about the organization for which you will be entering or editing projects in PRISM.

Organization (and region if applicable)

Your Role

Your Job Title (if applicable)

Verification Information

RCO will contact the person below to verify that you are authorized to edit application data in PRISM. Use these fields to enter a contact who will verify your access. If the application is for your organization, just enter your supervisor's information.

Contact Person

Contact's E-mail Address

Contact's Phone Number

Extension if applicable

If you have any questions about this form or you do not receive your password in 2 business days, please e-mail us or call us at 360-902-3086 (Telephone Relay Service for the Hearing Impaired 800-833-6388).