Online Portal Access

Please complete the form below as they pertain to you. Your request can take up to 24 business hours to process. Once our system has been updated, you will receive an email that confirms your username has been set up and directions on how to set your password.

You can email Domonique Wald or Bethany Nelson with questions or you may reach us at 651-389-1140.

PLEASE COMPLETE ONLY ONE FORM. Members do not need to complete the information for their agency.


 

Member Information

Agency Information