Vip account enrollment electronic death registration system edrs funeral homes edition
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VIP Account Enrollment Electronic Death Registration System (EDRS) Funeral Homes Edition. Massachusetts Dept. of Public Health Registry of Vital Records and Statistics WEBINAR - VIDEO VERSION. There are four forms to fill out. Three on paper to be mailed to RVRS:

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VIP Account Enrollment Electronic Death Registration System (EDRS) Funeral Homes Edition

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Vip account enrollment electronic death registration system edrs funeral homes edition

VIP Account EnrollmentElectronic Death Registration System (EDRS) Funeral Homes Edition

Massachusetts Dept. of Public Health

Registry of Vital Records and Statistics

WEBINAR - VIDEO VERSION


There are four forms to fill out

There are four forms to fill out

  • Three on paper to be mailed to RVRS:

    1. Virtual Gateway (VG) Services Agreement

    2. Designation of Access Administrator Agreement

    3. VIP User Agreement

    Registry of Vital Records and Statistics

    ATTN: Hansy Noel

    150 Mt. Vernon Street, 1st Floor

    Boston, MA 02125-3105

  • One form to be filled out in Excel and emailed to RVRS

    4. User Request Form

    [email protected]


Vip account enrollment electronic death registration system edrs funeral homes edition

VG Services Agreement

  • One per organization

  • Submit the paper original

Virtual Gateway Service terms

Contract between your organization and the Commonwealth.


Vip account enrollment electronic death registration system edrs funeral homes edition

Designation of Access

Administrator Agreement

Identify your Access Administrator

Access Administrator manages all of your users

Document to be signed by your owner or director

  • One per organization

  • Submit the paper originals by USPS


Vip account enrollment electronic death registration system edrs funeral homes edition

VIP User Agreement

  • One per or Administrator

  • Submit the paper original

RSVS user agreement terms and conditions.

Every person is required to read and sign.


Vip account enrollment electronic death registration system edrs funeral homes edition

USER REQUEST FORM

Access Administrator emails the User Request to [email protected]

Required to generate the VIP and VG user accounts.

Form is used for future user changes.

  • One per organization

  • Email the Excel file from the ACCESS ADMINISTRATOR


Overview of steps

Overview of Steps


Vip account enrollment electronic death registration system edrs funeral homes edition

  • 1

  • Virtual Gateway (VG) Services Agreement


Vip account enrollment electronic death registration system edrs funeral homes edition

VG Services Agreement

(Completed Sample)

1

2


Vip account enrollment electronic death registration system edrs funeral homes edition

  • 2

  • Designation of Access Administrator Agreement


Designation access administrator agreement

Designation AccessAdministrator Agreement

1

2

3

4

(Completed Page 1 of 2)


Vip account enrollment electronic death registration system edrs funeral homes edition

Designation AccessAdministrator Agreement

(Completed Page 2 of 2)

1

2

3

4


Vip account enrollment electronic death registration system edrs funeral homes edition

Designation AccessAdministrator Agreement(Removal of Administrator)

Select the remove option

The signatory of the organization fills this section in

David Chapman

Chapman Cole & Gleason Funeral Home

781-999-9999

6-29-2013

This is the information for the person you wish to REMOVE as access administrator

Chapman, Cole & Gleason Funeral Home

2599 Cranberry Highway

Wareham, MA 02521

Christopher W. Berg

[email protected]

508-999-9999 508-999-9991

0060 5082

Authorized Signatory Signs, Prints and Dates the Form

David Chapman David Chapman 6 29 12


Vip account enrollment electronic death registration system edrs funeral homes edition

  • 3

VIP – User Agreement


Vip account enrollment electronic death registration system edrs funeral homes edition

VIP – User Agreement

1

2

(Completed Page 1 of 2)


Vip account enrollment electronic death registration system edrs funeral homes edition

RVRS – User Agreement

1

2

3

(Completed Page 2 of 2)


Vip account enrollment electronic death registration system edrs funeral homes edition

  • 4

  • Vital Information Partnership (VIP)

  • User Request Form (URF)


Vip account enrollment electronic death registration system edrs funeral homes edition

User Request Form

1

2

We will break this down into three parts as this will be completed and submitted electronically as an excel file

3


Vip account enrollment electronic death registration system edrs funeral homes edition

User Request Form

  • 1

  • Enter the name(s) of each user

  • Enter 4 digit pin for user

    • (pin CANNOT be 0000 or 1234)

  • Enter User(s) Month and Day of Birth

    • (e.g. May Twenty-fifth = 0525)

  • Enter User(s) Work Email

  • Enter User(s) Work Phone #

[email protected]

Berg

0525

8955

Christopher

W

508-999-9999


Vip account enrollment electronic death registration system edrs funeral homes edition

User Request Form

  • 2

Select from the list the

proper group for the user(s)

In this example we are

selecting a funeral home

data entry

Select option to add or modify

user(s) account

X

X


Vip account enrollment electronic death registration system edrs funeral homes edition

User Request Form

  • 3

David Chapman

Chapman Cole & Gleason

[email protected]

12345-67

781-999-9999

8-13-2013

The Access Administrator

finishes the User Request

Form (URF)

&

Save document as described

&

Send the document to

VIP Project team email


Checklist before submission

Checklist before submission

  • VG Services Agreement

    • Required for each organization accessing VIP and/or the EDRS

  • Designation of Access Administrator

    • Required to establish and maintain access to the VIP and/or EDRS

    • A backup should be administrator is strongly recommended

  • VIP User Agreement

    • Each individual person who will be accessing the VIP and/or EDRS is required to agree to the terms and conditions of the VIP system.

    • SHARING ACCOUNTS IS NOT ALLOWED

  • User Request Form

    • To be emailed by the Access Administrator from the email account on file with the Virtual Gateway


Vip account enrollment electronic death registration system edrs funeral homes edition

  • MAIL FORMS TO:

  • Registry of Vital Records and Statistics

  • ATTN: Hansy Noel

  • 150 Mt. Vernon Street, 1st Floor

  • Boston, MA 02125-3105

  • EMAIL TO:

  • [email protected]


Vip account enrollment electronic death registration system edrs funeral homes edition

Thanks! we look forward to January 1st and our new Electronic Death Registration System the Vitals Team

QUESTIONS?

[email protected]


Vip account enrollment electronic death registration system edrs funeral homes edition

Quick Reference Guide

VIP Enrollment FORMS

Funeral Homes

  • Registry of Vital Records and Statistics IGNORE ALL OTHER ADDRESSESS

  • ATTN: Hansy Noel * USE ONLY THIS ADDRESS *

  • 150 Mt. Vernon Street, 1st Floor

  • Boston, MA 02125-3105

  • [email protected]

  • BY PAPER ( * 3 weeks to process the set * )

  • VG Services Agreement – Contract between you and our MA IT Services

  • * need your Tax Id # and level III or VI director to sign *

  • Designation of Access Administrator – Manages user access, addition & removal

  • * designate one, with one or more backup admins *

  • VIP User Agreement – Every user promises to follow policies

  • * every user acknowledges on paper *

  • BY EMAIL ( * 2 days to process * )

  • User Request Form – Access Admin manages users by excel & email


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