School Login Request

Office of Insurance and Safety Fire Commissioner

Ralph T. Hudgens

Commissioner

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School Login request

The purpose of this application is for NEW schools to request a user name and password in order to gain access to the web enabled fire drill reporting system.

If you already have a user name and password, and you forgot it, do not fill out his form. Just click HERE and type your email address and click on the "I forgot my password" button or please call Wanda at 404-656-7646. Thank you.

If you are a new school, please fill-out completely the form below to request a username and password.

If we determine that you already have an issued password, we will not reply to your request.
* Indicates required field

School System Name or County School is in	*
Name of School	*
Type of School	*
Grade Range - select all that apply	PK ]K ]HeadStart ]1 ]2 ]3 ]4 ]5 ]6 ]7 ]8 ]9 ]10 ]11 ]12 ]Adult ] *
Principal's Title	*
Principal's First Name	*
Principal's Middle Name	*
Principal's Last Name	*
Address	*
City	*
Zip	*
Telephone Number	*
Fax Number
Principal's Email Address	*

5/19/2013 7:47:05 PM

172.16.0.32