Open An Account

After filling out the required information (agency name, address, phone number, etc.) click on the “Submit” button near the bottom.

Main: (602) 234-3506

After Hours: (800)231-2401

(602)266-8227

P.O Box 32974

Phoenix, Arizona 85064-2974

Please provide the following information to set up a new ICMS account.

Agency Name (Optional):

Jurisdiction (Optional):

Contact Name:

Primary Phone Number:

Secondary Phone Number (Optional):

Fax Number (Optional):

Email Address:

Street Address:

City:

State:

Zip Code:

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Integrated Case Management System (ICMS)