TPMG x DoorDash Work Portal Team Request Form

Welcome Kaiser TPMG!

Please note this is ONLY for Kaiser TPMG, this process is not offered to Hospital or Health Plan employees.

Please view this quick (4 minute) video guide prior to submitting this form.

By creating a Work Portal, admins can set up group meals and extend meal credits to their employees with flexibility, streamlined invoicing and access to a VIP support team.

Monthly invoices are directly sent to TPMG using the billing details you provide in this form. TPMG's centralized billing is set up so each DoorDash Work Portal Admin Team/Account is associated to a complete 18-digit GL String (i.e. 0206-20001-5230-81355) and the bill-to Admin NUID# (i.e. E000000). Invoices will be billed to the GL String indicated on the team name you provide.

Multiple teams or divisions can associate with a DoorDash Admin Account, and admin(s) have the right to create other admin portals to support their operational needs.

**PLEASE COMPLETE THIS FORM FOR EACH TEAM YOU ARE REQUESTING (1 work portal team per form submission)**

Requirements:
1) Use your KP.org email address.
2) You MUST have a DoorDash Account with your @kp.org email created before submitting this form. Your team cannot be processed without it.
3) Double check your GL String and NUID prior to submission. All teams will be automatically invoiced to the GL string you input and are reflected in the team name(s).

All valid and complete requests will be actioned within 36 hours. Please look out for communications from the DoorDash onboarding staff.

E-mail*

example@example.com

Please confirm you visited www.doordash.com and created a DoorDash Account using your @kp.org email address (a DoorDash Work Portal Team cannot be created without an active DoorDash account associated with your Kaiser email).*

Yes - I created a DoorDash Account with my @kp.org email address.No - Please create a DoorDash account using your @kp.org email at www.doordash.com before submitting this form.

Full Name *

First NameLast Name

Your Kaiser Employee Email*

john.doe@kp.org

Your Title/Role at Kaiser

Your Service Area and Location*

Your Department Name*

I confirm the above GL String is 18 digits*

Yes, I have double checked that the GL String is 18 digits and I understand my work portal request cannot be completed if this is incomplete or inaccurate. MY GL string begins with 0206.

Your COMPLETE 18-digit GL String that begins with 0206.

0206-00000-0000-81355

Your Admin NUID #*

E000000

Would you like to grant admin status to any of your colleagues on your Work Portal Team? If yes, please provide their email address and ensure they have a DoorDash account.

Please estimate the number of employees that you will be extending meals or meal credits to with this GL String. *

DoorDash can load your employees to your Work Portal under this GL String as part of setup, reducing work on your end. Simply paste the employees' emails into the below box, with each email separated by commas.

first.last1@kp.org, first.last2@kp.org, first.last3@kp.org, first.last4@kp.org, first.last5@kp.org, first.last6@kp.org, first.last7@kp.org, first.last8@kp.org, ETC.

Please carefully read and check the below boxes to confirm submission:*

I confirm I created a DoorDash Account with my @kp.org email address - www.doordash.comI understand that my DoorDash Work Portal Team name will be invoiced to the GL String and ADMIN NUID provided in this form (should you provide assistance/support for another GL String, please complete another form)I confirm I have that all of this information entered is accurate and correct

A member of the DoorDash Team will reach out directly once your Portal is ready to help you with your initial setup. Please provide your preferred contact number.*

Please enter a valid phone number.