Thursday, November 27, 2014 ALLIANT INSURANCE SERVICES, INC.
   
OFFICE AUTOMATION SYSTEM
Request User Access

Complete the form below to request access to the Oasys-Net Insurance Management system.  Only authorized users will be allowed access.

If you are uncertain about any information on this form please contact your customer service representative in the Newport Beach or San Francisco office.

You will be notified by e-mail regarding your request.  Please allow 48 hours for approval.

Please Note:  All fields are required.

Your Name:
Your Title:
Organization*:
Your E-mail Address:
Phone Number:
Modules Needed: Vendor Certificate Tracking
Certificate Requests
Property
Vehicle Schedules
If property is checked, complete the following:
* Property program: 
Access Level Needed: 
Comments:
* Check the top of your latest property schedule for this information or call your customer service representative.

2000-2006 All Rights Reserved. 
Alliant Insurance Services, Inc. 1620 5th Ave. San Diego, CA 92101. 

An Alliant Resources Group Company.