Enter your facility information here. The required fields are marked with a red asterisk (). In the 'Name' entry field enter the legal name of the facility. If your facility is know by more than one name you can use the 'Alias' entry field to enter additional name(s) for your facility. The city/township is selected from a predefined list. If you do not see your city/township please contact technical support so we can add your city/township.