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ChartMaker Cloud – Two-Factor Authentication Preparedness
Office / Practice Name
*
Client ID / Account Number (can be found on Invoice):
*
Contact Name
*
First
Last
Contact Phone
*
Contact Email
*
Disable Inactive Cloud Users
Do you have any cloud users that you need to disable?
Prior to configuring Two-Factor Authentication Method for each of your cloud users, let us know if there are any obsolete or inactive cloud users that you need to disable.
Yes
No
Disable Cloud Username 1
Do you have any additional cloud users that you need to disable?
Yes
No
Disable Cloud Username 2
Do you have any additional cloud users that you need to disable?
Yes
No
Disable Cloud Username 3
Do you have any additional cloud users that you need to disable?
Yes
No
Disable Cloud Username 4
Do you have any additional cloud users that you need to disable?
Yes
No
Disable Cloud Username 5
Cloud User Two-Factor Authentication Method
From the ChartMaker Cloud - Two-Factor Authentication Preparedness email you received, please enter each applicable
Cloud Username
, their
Two-Factor Authentication Method
, and a
unique
Email Address
if using a smart-phone for 2FA.
Do note, each cloud user that is using a smart-phone for 2FA must have a unique email address.
Cloud users cannot share the same email address for 2FA.
If a unique email address is not included for each cloud user, then your registration will be delayed.
Also note,
New Cloud Users cannot be added or processed via the ChartMaker Cloud – Two-Factor Authentication Preparedness form.
If you need to add a new cloud user, please complete the
Cloud User Request
form.
Cloud Username 1
Cloud User 1 - Two-Factor Authentication Method
Smart-Phone (iOS or Android)
2FA Token ($30)
Email Address for Cloud Username 1
*
Cloud Username 2
Cloud User 2 - Two-Factor Authentication Method
Smart-Phone (iOS or Android)
2FA Token ($30)
Email Address for Cloud Username 2
*
Cloud Username 3
Cloud User 3 - Two-Factor Authentication Method
Smart-Phone (iOS or Android)
2FA Token ($30)
Email Address for Cloud Username 3
*
Cloud Username 4
Cloud User 4 - Two-Factor Authentication Method
Smart-Phone (iOS or Android)
2FA Token ($30)
Email Address for Cloud Username 4
*
Cloud Username 5
Cloud User 5 - Two-Factor Authentication Method
Smart-Phone (iOS or Android)
2FA Token ($30)
Email Address for Cloud Username 5
*
Cloud Username 6
Cloud User 6 - Two-Factor Authentication Method
Smart-Phone (iOS or Android)
2FA Token ($30)
Email Address for Cloud Username 6
*
Cloud Username 7
Cloud User 7 - Two-Factor Authentication Method
Smart-Phone (iOS or Android)
2FA Token ($30)
Email Address for Cloud Username 7
*
Cloud Username 8
Cloud User 8 - Two-Factor Authentication Method
Smart-Phone (iOS or Android)
2FA Token ($30)
Email Address for Cloud Username 8
*
Cloud Username 9
Cloud User 9 - Two-Factor Authentication Method
Smart-Phone (iOS or Android)
2FA Token ($30)
Email Address for Cloud Username 9
*
Cloud Username 10
Cloud User 10 - Two-Factor Authentication Method
Smart-Phone (iOS or Android)
2FA Token ($30)
Email Address for Cloud Username 10
*
Do you have additional cloud users that you need to add a 2FA method for?
Yes
No
Cloud Username 11
Cloud User 11 - Two-Factor Authentication Method
Smart-Phone (iOS or Android)
2FA Token ($30)
Email Address for Cloud Username 11
*
Cloud Username 12
Cloud User 12 - Two-Factor Authentication Method
Smart-Phone (iOS or Android)
2FA Token ($30)
Email Address for Cloud Username 12
*
Cloud Username 13
Cloud User 13 - Two-Factor Authentication Method
Smart-Phone (iOS or Android)
2FA Token ($30)
Email Address for Cloud Username 13
*
Cloud Username 14
Cloud User 14 - Two-Factor Authentication Method
Smart-Phone (iOS or Android)
2FA Token ($30)
Email Address for Cloud Username 14
*
Cloud Username 15
Cloud User 15 - Two-Factor Authentication Method
Smart-Phone (iOS or Android)
2FA Token ($30)
Email Address for Cloud Username 15
*
Do you have additional cloud users that you need to add a 2FA method for?
Yes
No
Cloud Username 16
Cloud User 16 - Two-Factor Authentication Method
Smart-Phone (iOS or Android)
2FA Token ($30)
Email Address for Cloud Username 16
*
Cloud Username 17
Cloud User 17 - Two-Factor Authentication Method
Smart-Phone (iOS or Android)
2FA Token ($30)
Email Address for Cloud Username 17
*
Cloud Username 18
Cloud User 18 - Two-Factor Authentication Method
Smart-Phone (iOS or Android)
2FA Token ($30)
Email Address for Cloud Username 18
*
Cloud Username 19
Cloud User 19 - Two-Factor Authentication Method
Smart-Phone (iOS or Android)
2FA Token ($30)
Email Address for Cloud Username 19
*
Cloud Username 20
Cloud User 20 - Two-Factor Authentication Method
Smart-Phone (iOS or Android)
2FA Token ($30)
Email Address for Cloud Username 20
*
Do you have additional cloud users that you need to add a 2FA method for?
Yes
No
Cloud Username 21
Cloud User 21 - Two-Factor Authentication Method
Smart-Phone (iOS or Android)
2FA Token ($30)
Email Address for Cloud Username 21
*
Cloud Username 22
Cloud User 22 - Two-Factor Authentication Method
Smart-Phone (iOS or Android)
2FA Token ($30)
Email Address for Cloud Username 22
*
Cloud Username 23
Cloud User 23 - Two-Factor Authentication Method
Smart-Phone (iOS or Android)
2FA Token ($30)
Email Address for Cloud Username 23
*
Cloud Username 24
Cloud User 24 - Two-Factor Authentication Method
Smart-Phone (iOS or Android)
2FA Token ($30)
Email Address for Cloud Username 24
*
Cloud Username 25
Cloud User 25 - Two-Factor Authentication Method
Smart-Phone (iOS or Android)
2FA Token ($30)
Email Address for Cloud Username 25
*
Do you have additional cloud users that you need to add a 2FA method for?
Yes
No
Cloud Username 26
Email Address for Cloud Username 26
*
Cloud Username 27
Email Address for Cloud Username 27
*
Cloud Username 28
Email Address for Cloud Username 28
*
Cloud Username 29
Email Address for Cloud Username 29
*
Cloud Username 30
Email Address for Cloud Username 30
*
Do you have additional cloud users that you need to add a 2FA method for?
Yes
No
Cloud Username 31
*
Email Address for Cloud Username 31
*
Email Address for Cloud Username 32
*
Cloud Username 32
Cloud Username 33
Email Address for Cloud Username 33
*
Cloud Username 34
Email Address for Cloud Username 34
*
Cloud Username 35
Email Address for Cloud Username 35
*
Do you have additional cloud users that you need to add a 2FA method for?
Yes
No
Cloud Username 36
Email Address for Cloud Username 36
*
Cloud Username 37
Email Address for Cloud Username 37
*
Cloud Username 38
Email Address for Cloud Username 38
*
Cloud Username 39
Email Address for Cloud Username 39
*
Cloud Username 40
Email Address for Cloud Username 40
*
Do you have additional cloud users that you need to add a 2FA method for?
Yes
No
Cloud Username 41
Email Address for Cloud Username 41
*
Cloud Username 42
Email Address for Cloud Username 42
*
Cloud Username 43
Email Address for Cloud Username 43
*
Cloud Username 44
Email Address for Cloud Username 44
*
Cloud Username 45
Email Address for Cloud Username 45
*
Do you have additional cloud users that you need to add a 2FA method for?
Yes
No
Cloud Username 46
Email Address for Cloud Username 46
*
Cloud Username 47
Email Address for Cloud Username 47
*
Cloud Username 48
Email Address for Cloud Username 48
*
Cloud Username 49
Email Address for Cloud Username 49
*
Cloud Username 50
Email Address for Cloud Username 50
*
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