Step 1: General User Information Entry

Once your data is submitted it will be processed by a KANPHIX User Manager.  Once your information has been processed by the KPM, you will be issued a SecuRID token (if applicable), user name, and instructions on how to access the KANPHIX web portal.

* Denotes a required field

Job Title:	*	Job Title is a Required Field
Legal First Name:	*	First Name is a Required Field
Legal Middle Initial:	*	Middle Name is a Required Field. If you do not have a middle name, please use X.
Legal Last Name:	*	Last Name is a Required Field
Suffix Name:	II III IV Jr.
Work Phone Number:	*	Incorrect format. Example: 785-555-5555
Work Phone Extension:
Work E-Mail Address:	*	E-Mail is a Required Field Invalid E-Mail format. Email must be yourname@domain.com
Security Question:	Choose a Security Question What is your favorite hobby? What was your high school's mascot? What is the name of your hometown newspaper? What is your favorite vacation destination? What was your first pet's name? *	Security Question is a Required Field
Security Answer:	*	Security Answer is a Required Field
Type the characters you see in the picture   To hear the code, click the speaker Icon to the left of these instructions. If you cannot read the code, click the refresh button to the left of these instructions to have a new code generated for you.