New User Application

Please allow 3-5 business days for the creation of new user accounts.

If you have multiple new employees, please contact us via phone or email for bulk account creations.

UIN of HR Liaison/Supervisor (whoever should receive the new user's credentials):*
New User's Preferred Name*
First Last
New User's UIN if known:
New User's NetID if known:
Office Phone Number:*
Department:*
Functional Group / Office:*
Job Title:*
Office Bldg/Room Number:*
Start Date:*
MM slash DD slash YYYY
End Date, if applicable:
MM slash DD slash YYYY
If a student employee, will they need a separate work mailbox?
Grant same access similar to:
DETAILS and COMMENTS (Indicate any special needs - databases, applications, folders, etc.):
Supervisor's Name:*
Supervisor's E-mail:*
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