The Account Manager Personal and Login Information page allows you to enter personal information, as well as information regarding your login ID and password. You will also answer two security questions.
Required fields online are noted by an asterisk.
Personal Information
Field | Description |
First Name | Enter your first name. May contain letters A-Z or a-z. Use only alpha characters or embedded spaces. |
Last Name | Enter your last name. May contain letters A-Z or a-z, hyphens, apostrophes, and embedded spaces. |
Job Title | Enter your job title. May contain letters A-Z or a-z, hyphens, apostrophes, and embedded spaces. |
E-Mail Address | Displays your email address provided previously in this process (read only). |
Telephone | Enter your company or work phone number and extension (optional). Numeric values only. Telephone number is not required for foreign reporters but can be provided if a U.S. number is available. |
Street Line 1 | Enter your primary street address. |
Street Line 2 | Enter your secondary street address. Use for attention to, apartment number, or suite number (optional). |
City | Enter your city. |
State | Select your state from the drop-down menu. For foreign RREs, select “Foreign Country” from the State drop-down menu. The rest of the address fields are not required. |
Zip | Enter your five-digit ZIP code and ZIP+4 extension (optional). |
Fax | Enter your company or work facsimile number including the area code (Optional). |
Login Information
Field | Description |
---|---|
Login ID | Create a login ID using the following rules:
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Password | Create a password using the following rules:
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Re-enter Password | Re-enter the password you created in the field above for verification. |
Security Question 1 | Click on the arrow in the drop-down menu and select a security question. |
Security Answer 1 | Enter the answer to the question you selected in the Security Question 1 field. |
Security Question 2 | Click on the arrow in the drop-down menu and select a security question. |
Security Answer 2 | Enter the answer to the question you selected in the Security Question 2 field. |
If you have correctly entered all of your personal and login information, click Continue to proceed to the next step in the registration process.
Click Cancel to return to the previous page.
September 2024
A federal government website managed and paid for by the U.S. Centers for Medicare and Medicaid Services.
7500 Security Boulevard, Baltimore, MD 21244