Secure Login Details Form

- I am authorized to share the login credentials and other information provided through this form.

- I understand that sharing account credentials involves security risks, and I choose to provide this information so that Tech Mentor Louisville can perform the services I have requested.

- I authorize Tech Mentor Louisville and its representatives to use these credentials to access and manage the specified accounts or systems solely for the purpose of providing those services and related support.

- I understand that I remain responsible for the account(s) and for changing or revoking access credentials if and when I no longer wish Tech Mentor Louisville to have access.