Office of AIDS - ELI Account Change

To make account changes to an ELI account:

Step 1:

Click on the following Microsoft Word form to open it:

New ELI Account Request Form (Word)

Complete the form then click on File/Save As, and use the default file name, "New ELI Account Request Form.doc," as the document file name to save it under.

Step 2:

Attach the completed and saved form to an e-mail message and send to:  actchang@cdph.ca.gov.

ELI Home

Office of AIDS Home