SIPA Service Request Form

Statewide Internet Portal Authority

Please complete the following form to request a single service from the Statewide Internet Portal Authority. 
If at any time you need assistance completing this form, please email sipa@cosipa.gov or call (720) 409-5634.

Contact Information







The Project Sponsor has signing authority for the project.




Service Requested

Custom Application




Event Registration

Payment Processing Information




please put a $ amount here.




Kofax/Lexmark/Perceptive

Salesforce.com


Google Applications

Website
please enter the last part of the URL, e.g. /sipa

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