Statewide Incident Management System (SIMS) Additional License Request Form
Completion of this form does not guarantee an additional license is available. Nor does the completion of this form guarantee an additional license will be granted.
Email address *
Primary Agency Name *
Your answer
Requestor's First Name *
Your answer
Requestor's Last Name *
Your answer
Requestor's Job Title *
Phone Number *
Your answer
First Name of Current SIMS User *
Your answer
Last Name of Current SIMS User *
Your answer
First Name of Current SIMS User *
Your answer
Last Name of Current SIMS User *
Your answer
Tell us why your agency needs an additional license:
Your answer
Comments and/or questions:
Your answer
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