SVRIS

(Statewide Vital Records Information System)

Account Initiation Instructions for LVROS

February 4, 2011

State of Wisconsin

Department of Health Services

State Vital Records Office

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Step 1- Initiating a Statewide Vital Records Information System (SVRIS)

Setting up your SVRIS User Account Self-Registration

You will need to set up your SVRISUser Account in order to access SVRIS and you will need to report your account ID to SVRO on the Access Request form. The SVRIS User account must be set upby each staff person using SVRIS. The SVRIS User Account must be set upusing your official individual agency/facility email (do not use a joint, shared email or an outside private, personal email account).You must use an email account that is associated with the facility/agency that is authorizing you to access vital records (e.g., local registration office, hospital). If this is a problem, contact the Help Desk toll-free at (866) 335-2180 or at

  1. Go to the link:
  2. Click on the “Self Registration” link under "Sign Up for your DOA/Wisconsin Logon" (see below red arrow).

  1. Read the User Agreement and click “Accept”.

  1. Enter required information below that is followed by the *. Under “Systems You Will Access” selectDHS Vital Records.Under “Account Information” enter the Logon ID and Password which will be used to gain access to the SVRIS.Click "Submit" when all the required information has been entered.

  1. Complete the SVRIS ACCESS AND CONFIDENTIALITY REQUEST FOR LOCAL VITAL RECORDS OFFICES forms. See example forms on the following pages.

State Vital Records Office
(2/4/11) / WISCONSIN DEPARTMENT OF HEALTH SERVICES
SVRIS ACCESS AND CONFIDENTIALITY REQUEST FOR LOCAL VITAL RECORDS OFFICES
User Information
If you need assistance, please contact the State SVRIS Application Administrator at . Fax both pages to (608) 261-4972.
SECTION I – REQUEST TYPE (to be completed by User or Local Account Administrator)
Enter DOA/Wisconsin Logon(user logon ID that user creates
at ): ______
Check appropriate box(es):
New SVRIS User: Create a SVRIS user ID
SVRIS Role Change: Make changes to an existing SVRIS user ID
Delete a SVRIS User: Delete a SVRIS user ID
ID Change: SVRIS user’s Logon ID change______
User’s Name Change: Enter user’s former name here ______ / Effective Date (MM/DD/YYYY)
N/A
Note: The State SVRIS administrator requires one (1) week notice prior to the effective date listed.
SECTION II – USER INFORMATION (to be completed by User or Local Account Administrator)
Last Name
WALKER / First Name
LISA / M.I
M / Working Title (e.g., Deputy Reg. of Deeds)
REGISTER OF DEEDS
Name of Facility/Office (e.g., Dane CountyRegister of Deeds)
COLUMBIACOUNTYREGISTER OF DEEDS / City
PORTAGE
Mailing Address (Building, Room No., Street, City, Zip)
400 DEWITT ST / Alternate Address (Building, Room No., Street, City, Zip)
Work Telephone No.
(608 ) 742 - 9677 ext / Email Address (example: )

SECTION III – SVRIS ROLES ASSOCIATED WITH CUSTOMER SERVICE AND ACCOUNTING
General Add this role
Delete this role / Functions: search, view, use CAS, print certified and uncertified copies of certificates for a specific jurisdiction, and perform statewide searches.
Check with Register of Deeds to determine role.
AdminAdd this role
Delete this role / Functions: perform all of the activities listed above, run reports, make changes to payment information within 24 hours.
Check with Register of Deeds to determine role.
SECTION IV – SUPERVISOR INFORMATION
Supervisor Name: LISA WALKER / Supervisor Telephone No.
(608) 742- 9677 ext
SECTION V – LOCAL SVRIS ACCOUNT ADMINISTRATOR INFORMATION
Local SVRIS Account Administrator Name
DO NOT COMPLETE SECTION V / Local SVRIS Account Admin Telephone No.
DO NOT COMPLETE SECTION V
Local SVRIS Account Administrator Signature
DO NOT COMPLETE SECTION V / Date Submitted to SVRO (MM/DD/YYYY)
DO NOT COMPLETE SECTION V
Location Code
DO NOT COMPLETE SECTION V / LVRONotes to State SVRIS Application Administrator
DO NOT COMPLETE SECTION V
SECTION VI –STATESVRIS APPLICATION ADMINISTRATOR– COMPLETED BY SVRO
Processed by: / Date processed
(MM/DD/YYYY)

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SVRIS ACCESS RIGHTS AND SECURITY / CONFIDENTIALITY AGREEMENT

LVROs

SVRIS SECURITY / CONFIDENTIALITY AGREEMENT

Office
Register of Deeds Milw CHO West Allis CHO / County/City
ColumbiaCounty
Name of Employee
Lisa Walker / Job Title
Register of Deeds
Work Phone
608.742.9677 / Fax Number
608.742.9875 / Email Address

Access to Wisconsin Vital Records is governed by Chapter 69, Wis. Statutes and DHS Administrative Rule 142 (not open records law). This Security/Confidentiality Agreement shall be signed by each SVRIS user within the above-named business entity as a condition for authorized use of SVRIS. All SVRIS users are required to accept the terms and conditions set forth in this Agreement. The employing agency agrees that, upon termination of an employee, the agency will immediately notify the State Vital Records Office by fax to (608) 261-4972 so the User Name and Password of the employee may be deactivated.

  1. Your SVRIS account is to be used only by you for official purposes related to your statutory role in the Wisconsin Vital Records program.
  2. You agree to abide by all applicable federal and state laws and policies regarding confidentiality of Wisconsin Vital Records data.
  3. You agree to respect the confidentiality and privacy of individuals whose records or data you access and to protect confidential information displayed from your workstation monitor and/or printed from SVRIS.
  4. You understand and acknowledge that SVRIS is only to be accessed by authorized users. You agree to protect the confidentiality of your Password and User Name. As an authorized user, you will not cause or permit anyone, other than yourself, to access SVRIS by use of your User Name and Password. Sharing a user account exposes the logged-in user to liability for all on-line SVRIS activities done under that user’s account. Any user found sharing his/her account with another individual may have his/her account deactivated immediately.
  5. Fax both documents as soon as possible to FAX Number (608) 261-4972.
  6. Someone from SVRO will notify you that your request for access has been approved and activated. It takes approximately one week to complete the account activation process.

I have read the above and agree to abide by its provisions. I understand that violation of the provisions stated in the Agreement may cause suspension or revocation of access to SVRIS and related privileges.

Name:

Date:

Signature: ______

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