* Indicates mandatory field.

1. Enter your contact details. Once your registration is activated by our Reconnect Help Desk, your system password will be sent to the email address recorded below.

• First name * Required
• Last name * Required
• Contact phone no * Required
• Email address * Required
• Confirm email address * Required

2. Select the level of access you require. An email will be sent to your Manager to confirm your system access once registration is complete.

• Access level required * Required field Selecting an option will reload the page. Please select Service Provider View only access
• Manager email address * Required
• Confirm manager email address * Required

4. Enter a user name which you will best remember when logging onto the system, then enter the security code exactly as it displays. Your nominated user name must be 8 characters long and may be a mix of letters and numbers.

• User name * Required
• Security code * Required