ELEP Registration

PortData Source ELEP Service Registration Form

This form is for those interested in registering for the PortData Source Enhanced Law Enforcement Platform (ELEP), which is a fee-based, online service.

Fields marked with an asterisk (*) are required.

Tracking Number

AGENCY/ORGANIZATION

Agency/Organization Name

Agency/Organization Type

FCC PSAP ID Number (required only for PSAP)

Law Enforcement Unit/Division/Post

Address 1

Address 2

City

County

State

ZIP Code

PRIMARY CONTACT

First Name

Last Name

Title

Primary Phone Number

Alternate Phone Number

Email Address

SECONDARY CONTACT

First Name

Last Name

Title

Phone Number

Alternate Phone Number

Email Address

BILLING: CONTACT INFORMATION

Billing Agency/Organization Name

Address 1

Address 2

City

State

ZIP Code

First Name

Last Name

Title

Primary Phone Number

Alternate Phone Number

Email Address

SUBSCRIPTION INFORMATION

Do you use a third party for connectivity, software, and/or billing? If so, list vendor(s) here:

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