Add a New Service Provider Form

Description: Welcome to the Service Provider Management page. This page displays the Add a New Service Provider form. This form allows users the capability to Add a New Service Provider to the YouthBuild system.

Functions: This page contains the following function(s):

Add New Service Provider

Add New Service Provider

Complete the following to Add a New Service Provider:

Fill out all required fields on this form.

Identify the type of provider by selecting one of the Provider Type radio buttons. (Required Field)
In the Provider Name text box, enter the name of the provider. (Required Field)
In the POC First Name text box, enter the first name of the provider's point of contact. (Required Field)
In the POC Last Name text box, enter the last name of the provider's point of contact.
In the POC Phone text box, enter the phone number of the provider's point of contact. (nnn-nnn-nnnn) (Required Field)
In the POC Phone Extension text box, enter the phone extension (if applicable) of the provider's point of contact.
In the POC Fax text box, enter the fax number of the provider's point of contact. (nnn-nnn-nnnn)
In the POC Email text box, enter the email address of the provider's point of contact.

Once all required fields have been completed, click the (Save) button. This will display the Successfully Saved Message.

Successfully Saved Message

Click the 'here' link to return to the Service Provider Management page. The newly created Service Provider record will display in the Service Provider Overview section.