Remote Access Account Creation Request

City of Newport, RI

Account Creation Request
Company Name*
Name*

First NameLast Name
Job Title*
User Email Address*
example@domain.com
Reason for Access*
Employee Cell Phone (Used for Two Factor Authentication)*
Country Code, Area Code, and Phone Number
Once we recieve this form we will reach out via encrypted mail to the email address

provided with credentials and login procedure. All user's requesting access will be

required to use Duo 2FA and Omnissa Horizon Client.

Thank you!

IT Department

City of Newport, RI
Please verify that you are human*
Should be Empty:

City of Newport, RI