This form should be used to request access to the EduTech Student FTP Server (

By submitting this form, you're requesting an account and the ability to upload or download data that you've been given specific access to.

Questions or concerns regarding this form should be sent to

What organization is this request for?​​​​​
What is your first name?​
What is your last name?​​
What is the best phone number for us to use if we have questions regarding this request?​​
What is your email address?​​​
**This will become your username​ when you logon later.
For what purpose will you be using the account?​​​
Who is the account manager that you will be working with when viewing/uploading Medicaid and/or STACS documentation?​​
What is the general purpose for needing this account?​​​
**Do your best to describe how you'll use the account.​​
What specific folder(s) or content do you need access to?​​
**If you aren't sure, skip this question...​
In order for this form to be processed, you must check all of the boxes that appear below to signify your agreement with each item.​​​​​​​