CSAT User Registration

Chemical Security Assessment Tool (CSAT) Registration Form

Page 1 of 2

Organization Detail for Facility 1
Notification code (if supplied):
Name of Organization:
Facility 1
Name of Facility:
Street Address 1:
Street Address 2:
City:
County:
State:

ZIP Code:

Latitude/Longitude Instructions:
1.

Go to The National Map on TerraServer http://terraserver.microsoft.com/, enter your street, city, and state then clic

2.
3.

TerraServer will present one or more "Available Image" links. Click on the most recent.
View the image that will be displayed to verify that your site is at the approximate latitude/longitude shown.

4.
5.

Copy the Latitude and Longitude from TerraServer into the boxes below.
Click here to verify your coordinates

If you have trouble with this procedure, click here for additional help.
Latitude:
Longitude:
Additional non-street location information:

Preparer for Facility 1
The Preparer is authorized to enter data into the CSAT on-line screening tool but is not authorized to formally submit
the data on the company's behalf. This person is a qualified individual familiar with the facility in question.
Is the Preparer for this facility the same as the Submitter?
First Name:

Yes

No
Middle Initial:

Last Name:

Mailing Address 1:
Mailing Address 2:

https://csat-registration.dhs.gov/CSAT-User-Reg/,DanaInfo=.a13-C66DG9CGKGK+submitter.jsp

2/26/2008

Chemical Security Assessment Tool (CSAT) Registration Form

Page 2 of 2

City:
State:
Phone Number:

ZIP Code:
(

)

-

Extension:

E-mail Address:
Is the Preparer for this Facility a U.S. Citizen?

Yes

No

Is the Preparer for this Facility domiciled in the U.S.?

Yes

No

Add Another Facility

Complete

https://csat-registration.dhs.gov/CSAT-User-Reg/,DanaInfo=.a13-C66DG9CGKGK+submitter.jsp

2/26/2008