ICS New User Registration Form

Illinois State Board of Education Nutrition Programs Division Food Distribution Program https://www.isbe.net/Pages/School-Nutrition-Programs-Food-Distribution.aspx

ILLINOIS COMMODITY SYSTEM REGISTRATION FORM

Please complete the following information to receive access to the Illinois Commodity System (ICS). Once completed, please submit this form to the Food Distribution Program via email to [email protected] or fax to 217.782.4550.

Sponsor Name: ______

Agreement Number (RCDT): ______

First Name: ______

Last Name: ______

Phone Number: ______

Email Address: ______

User Name: ______(We recommend your first initial and last name)

Password: ______(Minimum of six characters)

Due to the limit of two users per school district, please indicate the user you are replacing so we can inactivate them.______

If you have any questions regarding this form, please contact Sophie Newman at 800.545.7892 or 217.782.2491, or email [email protected]

Name and Title of School Authorized Representative

Signature of School Authorized Representative Date