Authorized Submitter

Select whether you are the Producer, or the Producer's authorized submitter.

Indicator Definition
1 Producer
2 Producer's Authorized Submitter
3 Back - will take you back to the Producer's contact information page.
4 Continue - will take you to the BQSD Home screen.

If you are the Producer, click to proceed to the next step.

If you are the Producer's authorized submitter, check the respective box and a form will display.

Enter the authorized submitter's information in the fields provided.

Fields marked with an asterisk * are required fields.

Click to proceed.


ERROR MESSAGES


Any phone field error:

Any email field error: