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Account Request
Account requests for individuals associated with state agencies and data partners are granted by the LIFETRACKS Management Board.
For assistance, contact: support@lifetracks.ms.gov

1. Personal Information

Phone Number: ( ) -  Ext. 

2. Associations

Select the organizations and schools for which you are requesting
permissions. You must select at least one association.

3. Notes (optional)

Please provide any additional information you think will help in creating this
account (250 characters max).


4. Submission

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