Access Request Form

Add this user to VA Performs

Remove this user from VA Performs

User ID

Name

Title

Please use your agency abbreviation and initials for your User ID. Example: DPBABC

Phone

Organization

Authorized Agency List

Please key in the 3 digit number of the agency(s) you need access to or select them from the pull down menu on the right. Separate multiple entries with a comma.

Grant access to edit performance measure data

Grant access to edit the management scorecard

Password

Confirm Password

Please enter an initial password in both boxes. Must be at least 8 characters and contain at least 1 number or special character [!@##$%^&*()]

Optional note to include in the email to the VA Performs administrator