User Access Transfer - Technology Service

Student Affairs User Access Transfer

User's Name(Required)

First Last

Expected date of access transfer(Required)

Is this user a student or staff employee?(Required)

Student

Staff

User's UIN(Required)

University Identification Number

User's NetID

User's New Department

Only if the user is moving to a new department.

User's New Group or Office

Only if the user is moving to a new group or office.

User's Office Building and Room Number

Only if the user is moving to a new building and/or room number.

User's New Job Title

Only if the user's job title is changing.

Please specify any systems, applications, resources, folders, etc, that needs to be removed during the transfer:

Only if applicable. Click “Add” and complete the row for each additional access that needs to be removed.

Please specify any systems, applications, resources, folders, etc, that needs to be added during the transfer:

Only if applicable. Click “Add” and complete the row for each additional access that needs to be added.

Any additional information we need to be aware of?

(Indicate any unique needs or information.)

Former Supervisor's Name(Required)

First Last

Former Supervisor's Email(Required)

Former Supervisor's Phone Number

New Supervisor's Name(Required)

First Last

New Supervisor's Email(Required)

New Supervisor's Phone Number

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