Please rate Form Ims 01 Revised 2-2026
Do not handwrite any information in Section 1 or Section 2. Type all information requested in Section 1 and do not leave any box blank if requesting to use secure OPWDD application(s).
Responsibility: users are responsible for all activity performed with their assigned OPWDD User ID.
Middle name: if you have no legal middle name, type an X and confirm in the body of the e-mail submission that you do not legally have a middle name.
Close: when an employee is no longer employed with the provider agency, it is the responsibility of the agency to submit a Close request (Sections 1, 2 and 4 only).
Submit: send the completed form to the appropriate unit listed at the bottom of the form, not to the wrong unit or multiple units.
| Question | Answer |
|---|---|
| Form Name | Form IMS-01 |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 74 |
| Avg. time to fill out | 13 min |
| Edition | Rev 2/2026 |
| Where to send | The appropriate unit listed at the bottom of the form |
| Matches the agency's file | Yes, checked October 2, 2026 |
| Other names | IMS-01, IMS 01, IMS01, Form IMS-01, OPWDD User ID and System Access Request Form |
| Official source | Form IMS-01 (Rev 2/2026), New York State Office for People With Developmental Disabilities |
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Please rate Form Ims 01 Revised 2-2026
