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Wednesday, August 17, 2022

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New Facility / System Access Request

SRTSweb is a secure system for authorized personnel use only. A clinic or lab wishing to use SRTSweb to manage military eyewear processing, must obtain a NOSTRA authorized account. To register a new lab or clinic, please complete the registration form below. You will be notified via email once NOSTRA has created your account.


Note: If you are an existing lab or clinic already using SRTS and you require user access, please complete the Request System Access form.

Facility Account Request Form


 

 

 

 

 






 

 

 

Requester Name:*

Requester Title:*

Requester Work Phone:*

Requester DSN Phone:

Requester FAX:

Requester Email:*




Facility Type:*

Facility Branch of Service:*

Facility Component:*

 

 

 

 

 

 

 

 

 

Unit Name:*

Unit Address 1:*

Unit Address 2:

Unit Address 3:

Unit City:*

Unit State:*

Unit Country:*

Unit Zip Code:*



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