Request additions to the allowed email domains on Care Identity Service (CIS)

Important information

You must have the Registration Authority Manager role to request a CIS allowlist addition.

Do not use this form to request access for an individual or to unlock a smartcard.

Use this form to request additions to the domain allow list. View current email domains allowed in CIS.

Completing this form

You'll be asked to provide your ODS code(s). The ODS portal can help you search for your code. Additions to the allowlist will need to be checked, so may not be authorised immediately.

Required form fields

Fields marked with an asterisk (*) need to be completed before the form can be submitted.

Section 1: Your details

Your name *

Your role * You must have a Registration Authority role to request a new CIS domain.

Your email address *

Name of the organisation you work for *

Organisation type * For example, pharmacy, hospice, GP practice.

ODS code of the organisation you work for * Look up your ODS code: https://odsportal.digital.nhs.uk/Organisation/Search

Name of the organisation you are requesting this domain for *

ODS code of the organisation you are requesting this domain for * Look up ODS code: https://odsportal.digital.nhs.uk/Organisation/Search

Section 2: Details of request

Email domain(s) to be added (must start with @). You can enter more than one domain. *

Reason for access to national records. Provide this for each email domain requested. *

When are new members of staff given their email addresses? Provide number of days or weeks after they join. Provide this for each email domain requested. *

What employment checks are completed? Provide this for each email domain requested. *

Are all employment checks completed before new members of staff are given the email address(es) you have included in this form? *

As the requestor, are you assured that there is a robust process to bind an identity or individual to the organisation's email domain(s)? *

Additional notes Please provide any other information you feel will be useful to support your request