Request New User

Requester Information
Please complete the following section with your information.
Name
First Last
Location*
Department*
Email*
Phone*
New User Information
Please complete the following section with the information of the new user you are requesting.
Name*
First Last
Location*
Department*
Email*
Phone*
Has this user been trained using the C3CAP TrackVia training materials?
It is the responsibility of the Super User submitting a New User request to ensure that the new user has been properly trained on C3CAP's TrackVia system. Please visit https://www.c3cap.org/kaiser/support/ to find links to the TrackVia training materials.
- Yes
- No
Will this user be a Super User?*
A Super User is a designated Clara user who is available for mentoring, troubleshooting, training, testing new features and making Special Requests for their department, including ordering passes, as well as requesting new users and new vendors.
- Yes
- No

Requester Information