
New Virtual Gateway Providers:
New Virtual Gateway Provider going live with contracts on EIM/ESM for the first time will be required to complete the following forms:
• Virtual Gateway Services Agreement
• Access Administrator Designation Form
• Organization Management Template
Existing Virtual Gateway Providers:
Existing Virtual Gateway providers going live with new contracts on EIM/ESM for the first time will be required to complete the following forms:
• Access Administrator Designation Form (only if you wish to change existing Access Administrators or add new individuals)
• Organization Management Template - Form D
Please note:
The Virtual Gateway Services Agreement, Access Administrator Designation Form and the EIM Rider are legal documents and must be signed by a legal signing authority within your organization and the original documents mailed to the address on the form.
The EIM/ESM User request form and Organization Management Template should be completed by an Access Administrator and e-mailed to the e-mail address on the form as an Excel document.
Downloads
EIM/ESM Provider Orientation (RTF 21.09 KB)
EIM/ESM Instructions (RTF 13.01 MB)
Virtual Gateway Services Agreement (PDF 113.25 KB)
Access Administrator Designation Form (RTF 1.53 MB)
EIM/ESM Rider (PDF 30.08 KB)
Organization Management Template - Form D
EIM/ESM User Request Form (XLS 356.5 KB)