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HOW TO APPLY

Grant requests must be submitted at least 60 days prior to the activity start date. The

following information is required for application submission:

Grant request letter (signed and printed on organization letterhead)

Activity agenda

Needs assessment with references

Learning objectives

Educational outcomes plan

Activity description

Honoraria policy (if accredited activity)

Grantor attendee policy

Firewall policy

W-9 form

Activity budget

Accreditation certificate

WHO MAY APPLY

The following types of organizations are eligible to submit requests for Allergan Medical

Education grants funding:

Accredited Providers

Medical or Professional Associations

Community Health Centers

Patient Associations or Advocacy Groups

Medical Education Companies

Universities or Colleges

Grant requests for accredited activities must be submitted by an accredited provider, even

if jointly sponsored by a Medical Education Company.

Allergan is unable to accept grant requests from individual physicians or groups of

physicians in private practice.

GRANT TYPES

Allergan considers medical education grant funding for the following:

• Medical Education Activities (Live, Print, Enduring)

• Fellowships (Submitted by an Academic Institution)

• In-Kind Product (Botox® Cosmetic, Botox® Therapeutic and Juvéderm®)

• Anatomical Models (Neurosciences and Urology Only)

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HOW TO REGISTER AS A NEW USER

In order to be able to submit a grant request to the Allergan Grants Management website,

you must register as a user

1. Open the Allergan Grant Management Homepage and locate: Need a User ID

2. Complete all fields on the Registration pop-up window

3. Click “OK” after completing the form

After completing the registration information you will be sent your username and

password.

HOW TO ACCESS YOUR LEGACY GRANT:

Enter your User ID from the former grant management system and enter the following (password is case sensitive): Password1

If you require assistance, please contact our Grants Help Desk at (866) 257-0272.

For technical assistance with the grant management system, please call us toll-free at 866/257-0272 or email us at vtsupport@envisionpharma.com

UNABLE TO REGISTER

You may encounter difficulty with user registration.

1. Information entered as part of your registration was invalid. Please see the error message and re-enter correct information.

2. An email address or Username was entered during registration that has already been registered with the Allergan Grant Management System. Please choose a different Username or email address.

Feel free to contact the Allergan Medical Education Department by email at IR-AGNMedEd@allergan.com for assistance.

UNABLE TO LOGIN

You may be unable to log in to the Allergan Grant Management System. Your account may

have been disabled due to inactivity. Please re-register. If problems persist, contact the

Allergan Medical Education Department at IR-AGNMedEd@allergan.com and request that

your account be reactivated.

FORGOTTEN USERNAME OR PASSWORD

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You may request a new password by clicking on “Forgot my Password” on the top left side

of the Allergan Grant Management System login screen.

If you have forgotten your User ID or cannot login, please click on the Customer Support

link located at the top left of the login screen for assistance.

USERNAME/PASSWORD UPDATE

You may change your User Name and Password at any time by locating the “Change

Password” link on the left side of the Allergan Grant Management System homepage.

Please keep in mind the following parameters:

• Minimum Characters: 8

• Password Configurations: Minimum Characters: 8

• Current password cannot be reused as the new password

• Last 10 passwords cannot be reused as the new password

At least one character from three (3) of the following categories must be used in a

password:

• Upper-case letter

• Lower-case letter

• Number

• Upper and lower case

• Alphanumeric character

• Special character (e.g.!@#$%^&*?/)

PROFILE UPDATE

Click on “Update Profile” located on the top right-hand side of the Allergan Grant

Management System homepage. After you have logged in, your profile will appear in a pop-

up window, which will allow for changes and or updates.

Click "Save" to update the information entered, or "Cancel" to revert back to the

homepage.

TIME ALLOTTED FOR APPLICATION ENTRY

Your application session will time out after 60 minutes, and you will be prompted to re-

enter your Username and Password information.

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User accounts lock out after five (5) invalid login attempts. If you are locked out of the

system after five (5) failed login attempts, you will need to request a new password.