NCRS Access Request Form Details Note: Questions marked by * are mandatory Complete this form if you need NCRS access on your iPad or help with your Smartcard. A member of the Smartcards team will be in touch about your request shortly. * I agree to the above processing *This is a mandatory field. First Name *This is a mandatory field. Last Name *This is a mandatory field. Email Address *This is a mandatory field. Date of Birth (this helps us find your profile) *This is a mandatory field. Mobile Number *This is a mandatory field. What is your clinical grade / setting? *This is a mandatory field. Which Trust HQ/Ambulance Station/EOC are you based at? UUID (if known - it's the 12 digit number on the front of your Smartcard) *This is a mandatory field. Do you have a SWASFT iPad? Yes No Have one assigned but not collected *This is a mandatory field. Do you currently or have you previously had a Smartcard? Yes No *This is a mandatory field. What do you need? An NHS Care ID NCRS Access on iPad Smartcard (new or help with a current card) Other Please provide any other information on how we can help you * Spam Guard: Is a stop sign red or blue? Proceed
