Please fill out this form to update the Point of Contact for your District.

The new District POC is responsible for inactivating any previous POC if they no longer need access to the Portal.

A receipt of this filled out form will be sent to the email address specified in the entry below.
Email address *
District Information
District Name *
New POC Name *
New POC Email Address *
New POC Phone Number (include extension) *
I authorize DRC to make the change of the POC for the district listed above.
Notes
Additional Notes
If you have any questions or concerns, fill out this question. Otherwise, leave it blank.
A copy of your responses will be emailed to the address you provided.
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