Name (exactly as appears on your government issued ID) *

Email *

Telephone *

PLEASE, CLICK ON “Sign Up as a Performer or Crew” TO SUBMIT YOUR APPLICATION.

ONCE YOUR INFORMATION IS RECEIVED, FSCPASS WILL GENERATE A CONFIRMATION EMAIL WITH THE USER ID AND LOG-IN PASSWORD YOU WILL USE TO ACCESS THE DATABASE. IT WILL BE SENT TO THE EMAIL ADDRESS YOU HAVE PROVIDED. IF YOU DO NOT RECEIVE IT, PLEASE, REMEMBER TO CHECK YOUR SPAM FILTER.

WHEN YOU VISIT A RECOMMENDED FSCPASS TESTING FACILITY, YOUR AVAILABILITY DATA WILL BE UPDATED IN THE DATABASE. IF YOU WOULD LIKE TO ACCESS PERSONAL MEDICAL INFORMATION, YOU MAY DO THAT THROUGH THE TESTING FACILITY WHERE YOUR TEST WAS ADMINISTERED.

IF YOU ARE A PERFORMER THAT ALSO IS A PRODUCER OR AGENT, YOU WILL NEED SEPARATE ACCOUNTS TO ACCESS THOSE SECTIONS OF THE DATABASE. ONCE YOU HAVE SUBMITTED YOUR PERFORMER APPLICATION, PLEASE RETURN TO THE SIGN-UP PAGE AND SUBMIT YOUR BASIC INFORMATION AGAIN, AND SELECT TO SIGN-UP AS A PRODUCER OR AGENT. CONTINUE TO FOLLOW INSTRUCTIONS TO SUBMIT ADDITIONAL INFORMATION. ONCE YOUR INFORMATION IS RECEIVED AND VERIFIED, YOU WILL BE ISSUED A SEPARATE ACCOUNT, IN ADDITION TO YOUR PERFORMER ACCOUNT.

Company Name *

Company URL *

Address 1 *

Address 2

City *

Select your state (US or Canada)*
Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manatoba New Brunswick Newfoundland/Labrador Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Northwest Territories Nunavut Yukon

or enter your state/province/territory (outside US and Canada)*

Zip *

  

ONCE YOUR INFORMATION IS RECEIVED AND VERIFIED, FSCPASS WILL GENERATE A CONFIRMATION EMAIL WITH THE USER ID AND LOG-IN PASSWORD YOU WILL USE TO ACCESS THE DATABASE. IT WILL BE SENT TO THE EMAIL ADDRESS YOU HAVE PROVIDED. IF YOU DO NOT RECEIVE IT, PLEASE, REMEMBER TO CHECK YOUR SPAM FILTER.