{"id":7586,"date":"2023-05-02T10:15:19","date_gmt":"2023-05-02T20:15:19","guid":{"rendered":"https:\/\/dod.hawaii.gov\/hiema\/?page_id=7586"},"modified":"2023-05-02T10:15:19","modified_gmt":"2023-05-02T20:15:19","slug":"hawaii-emergency-management-agency-webeoc-user-account-request","status":"publish","type":"page","link":"https:\/\/dod.hawaii.gov\/hiema\/hawaii-emergency-management-agency-webeoc-user-account-request\/","title":{"rendered":"Hawaii Emergency Management Agency WEBEOC USER ACCOUNT REQUEST"},"content":{"rendered":"<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_8' >\n                        <div class='gform_heading'>\n                            <p class='gform_description'>Hawaii Emergency Management Agency\r\nWEBEOC USER ACCOUNT REQUEST<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_8'  action='\/hiema\/wp-json\/wp\/v2\/pages\/7586' data-formid='8' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_8' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_8_20\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_20'><span class='gform-field-label__text'>X\/Twitter<\/span><\/label><div class='ginput_container'><input name='input_20' id='input_8_20' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_8_20'>This field is for validation purposes and should be left unchanged.<\/div><\/div><fieldset id=\"field_8_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>APPLICANT\tApplicant&#039;s Name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_8_1'>\n                            \n                            <span id='input_8_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_8_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_8_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            <span id='input_8_1_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.4' id='input_8_1_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_8_1_4' class='gform-field-label gform-field-label--type-sub '>Middle<\/label>\n                                                <\/span>\n                            <span id='input_8_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_8_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_8_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_8_3\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_3'><span class='gform-field-label__text'>Type of Employee:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_8_3' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_8_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_4'><span class='gform-field-label__text'>Organization Name:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_8_4' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_8_5\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_5'><span class='gform-field-label__text'>Department Name:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_8_5' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_8_6\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_6'><span class='gform-field-label__text'>Job Title or function:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_8_6' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_8_7\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_7'><span class='gform-field-label__text'>Organization role during emergency operations (be specific):<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_8_7' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_8_8\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-standard gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_8'><span class='gform-field-label__text'>Work Phone<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_8' id='input_8_8' type='tel' value='' class='large'  placeholder='(999) 999-9999' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/div><div id=\"field_8_9\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-standard gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_9'><span class='gform-field-label__text'>Cell Phone<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_9' id='input_8_9' type='tel' value='' class='large'  placeholder='(999) 999-9999' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/div><div id=\"field_8_10\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_10'><span class='gform-field-label__text'>Email Address (Used as login username - Single User):<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_10' id='input_8_10' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_8_11\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Supervisor&#039;s Name:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_8_11'>\n                            \n                            <span id='input_8_11_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_11.3' id='input_8_11_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_8_11_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_8_11_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_11.6' id='input_8_11_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_8_11_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_8_12\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_12'><span class='gform-field-label__text'>Supervisor&#039;s Email<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_12' id='input_8_12' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_8_13\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_13'><span class='gform-field-label__text'>User Type:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_13' id='input_8_13' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Single User Sign-On' >Single User Sign-On<\/option><option value='Multiple User Sign-On' >Multiple User Sign-On<\/option><\/select><\/div><\/div><fieldset id=\"field_8_18\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Requested Board(s):<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox gfield_choice--select_all_enabled' id='input_8_18'><div class='gchoice gchoice_8_18_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.1' type='checkbox'  value='RFA\/RFI Board - (Request for Assistance\/Information Boards)'  id='choice_8_18_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_18_1' id='label_8_18_1' class='gform-field-label gform-field-label--type-inline'>RFA\/RFI Board - (Request for Assistance\/Information Boards)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_8_18_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.2' type='checkbox'  value='Event Log - (All Event Logs including: Information, Significant and Statewide events)'  id='choice_8_18_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_18_2' id='label_8_18_2' class='gform-field-label gform-field-label--type-inline'>Event Log - (All Event Logs including: Information, Significant and Statewide events)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_8_18_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.3' type='checkbox'  value='EEI Boards'  id='choice_8_18_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_18_3' id='label_8_18_3' class='gform-field-label gform-field-label--type-inline'>EEI Boards<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gfield-choice-toggle-all\"><button type=\"button\" id=\"button_18_select_all\" class=\"gfield_choice_all_toggle gform-theme-button--size-sm\" onclick=\"gformToggleCheckboxes( this )\" data-checked=\"0\" data-label-select=\"Select All\" data-label-deselect=\"Deselect All\">Select All<\/button><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_8_15\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>End-User Agreement:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_15.1' id='input_8_15_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_8_15\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_8_15_1' ><span class='gform-field-label__text'>I accept the End-User Agreement:<\/span><\/label><input type='hidden' name='input_15.2' value='I accept the End-User Agreement:' class='gform_hidden' \/><input type='hidden' name='input_15.3' value='1' class='gform_hidden' \/><\/div><div class='gfield_description gfield_consent_description' id='gfield_consent_description_8_15'><div class='gfield_consent_description_text gform-theme__no-reset--children' tabindex='0'>End-User Agreement:<br \/>\n<br \/>\nAs an authorized user of HI-EMA WebEOC, I agree to use the requested system in full accordance with HI-EMA policies and procedures and to protect all information from unauthorized disclosure. I agree not to share my user sign-on (sign-on name and password) with anyone at any time. I understand that unathorized use or disclosure of HI-EMA Services information will result in the immediate termination of my user privileges and may include civil and criminal penalties.<br \/>\n<\/div><\/div><\/fieldset><div id=\"field_8_19\" class=\"gfield gfield--type-turnstile gfield--input-type-turnstile gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_turnstile'><div class=\"cf-turnstile\" id=\"cf-turnstile_8\" data-js-turnstile data-response-field-name=\"cf-turnstile-response_8\" data-theme=\"auto\" data-size=\"\" data-sitekey=\"0x4AAAAAAAR4uKq_8xdjT8Ww\"><\/div><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_8' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Submit<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_8' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_8' id='gform_theme_8' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_8' id='gform_style_settings_8' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_8' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='8' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='+I+2bijXQ3gVTimMqy+HP4TfyguDe7kYrAXYxamtT1n+FlS3l8NwlaaDyJkxWPI38QQV9WIbJt2Oj87lOA5duCGLyEwajm3PHY5qexXegvCULSo=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_8' value='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' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_8' id='gform_target_page_number_8' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_8' id='gform_source_page_number_8' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-7586","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dod.hawaii.gov\/hiema\/wp-json\/wp\/v2\/pages\/7586","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dod.hawaii.gov\/hiema\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dod.hawaii.gov\/hiema\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dod.hawaii.gov\/hiema\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/dod.hawaii.gov\/hiema\/wp-json\/wp\/v2\/comments?post=7586"}],"version-history":[{"count":0,"href":"https:\/\/dod.hawaii.gov\/hiema\/wp-json\/wp\/v2\/pages\/7586\/revisions"}],"wp:attachment":[{"href":"https:\/\/dod.hawaii.gov\/hiema\/wp-json\/wp\/v2\/media?parent=7586"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}