Add a New User

Account Name*

Please list the current name of the account that needs to be updated.

System*

Please indicate which of our online systems this user should be added to. Select all that apply.

teamdrugresults.com

teambackground.bgsecured.com

Effective Date

(Optional) If this update is time-sensitive, please indicate when it should go into effect. As noted above, please allow a minimum of 1-2 business days for your change to be processed.

Requestor Details

Please enter your personal information so our TEAM can verify that you have adequate permissions to request changes to the account.

Requestor Name*

Requestor Phone*

Requestor Email*

Provide a valid email address our TEAM can use to notify you once the requested update(s) are complete.

Add a new user.

Requestor Details

New User Details

Account Access

Comments