SDX FEES Access Request Form
Hello and thanks for your interest.  To open a new account, add, edit or restore your access to login to SDX, please complete the form below.  

SDX will send you an email with your LOGIN INFORMATION & REQUESTED CHANGES WITHIN 72 HOURS.  

FOR URGENT ASSISTANCE/ACCESS, TEXT/CALL 860-573-0120.  

"Reset password" email requests are frequently blocked by facility security firewalls, so please do use this form if you have been unable to use the password reset feature.  

If you would like to view the User Tutorial, CLICK HERE.  
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Please provide your first & last name. *
What email would you like your account registered to?  (If you are re-activating or editing your access, please provide your current username/linked email.) *
Please verify that the above email address is correct. *
Required
What is your role? *
Please provide your preferred phone number in case we have questions about your account during setup.
Which type(s) of SDX account are you requesting access to?
Which state(s) are you working in? (Click all that apply.)
How can we help you?
If this is a new account or a request to add/edit, please note which facilities you would like access to.  (If you are requesting any facilities to be removed from your account, please specifically note "Remove...name of facility.")
By putting your initials on the line below, you agree to receive emails from SDX for accessibility to our portals and their features, scheduling availability, news updates, report/video added to your account reminders and upcoming events.   *
Thank you for all you do!
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