This change request must be filled out in its entirety and signed by an Authorizing Officer.
Due to the sensitivity of the information contained in the WCRB website membership, the Authorizing Officer of the Group Administrator must be the President, Owner, or a Chief Officer of the organization. The Applicant and Authorizing Officer may be the same individual.
Once the change request is complete, select the “Submit Application” button. Both the Applicant and Authorizing Officer will receive an emailed copy of the completed application along with the Membership Terms and Conditions for their records.
The requested change will be processed within two business days.
If there is a problem with the change request, the applicant will receive an email from wcrbwebmaster@wcrb.org detailing steps required to resolve the problem.
Membership Guidelines
After the new Group Administrator (GA) account has been established, the existing Group Administrator account will be inactivated. It is the responsibility of the new GA to set up additional Administrator or User accounts going forward.
To avoid misuse of your account, WCRB website members should not share login credentials.
Additional information can be found in the WCRB Website Member User Guide.
ALL FIELDS ARE REQUIRED
New Group Administrator Information
Organization Name: 
New GA Last Name:
New GA First Name:
Email Address:
Phone Number: () -
Verify Email:
Choose a User ID:
- must be between 6 and 20 alphanumeric characters in length
- numbers and lowercase letters only
- no special characters (ie: $&*_!?-%)
Group Administrator to Inactivate
Old GA Last Name:
Old GA First Name:
Authorizing Officer Approving the GA Replacement
Officer Last Name:
Officer First Name:
Verify Email:
BY SUBMITTING THIS APPLICATION THROUGH THIS WEBSITE AND TYPING MY NAME IN THE BOX BELOW, I AM OFFERING MY DIGITIAL SIGNATURE IN LIEU OF MY HANDWRITTEN SIGNATURE. THE AUTHORIZING OFFICER IS CONSENTING TO THE REPLACEMENT OF THE EXISTING GROUP ADMINISTRATOR OF RECORD IN ELECTRONIC FASHION. THE DIGITAL SIGNATURE CONTAINED WITHIN THIS APPLICATION IS ENFORCEABLE AND CANNOT BE DENIED LEGAL EFFECT PURSUANT TO WIS. STAT. 137.15(1).
Authorizing Officer Signature: