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Access Request - Administrative Account

Before completing this form, you are required to thoroughly read the Administrator Access Guideline.

Administrator Access/Accounts is typically reserved for University Computing Support Services (UCSS) and Campus IT Managers who are responsible for providing administrative services such as system maintenance and user support.

Administrator Access/Accounts are regularly audited for compliance. UCSS in conjunction with the IT Security Office reserves the right to disable Administrator Access/Accounts at any time for non-compliance.

I have read and agree to abide by the Administrator Access Guideline *

Yes

Please provide the following information for authorized approver of this request:

Approver First Name *

Approver Last Name *

Approver ULID *

Approver Contact Number *

Approver Job Title *

Approver Department *

Please provide the following information regarding person who is requesting this access:

Requester First Name *

Requester Last Name *

Requester ULID *

Alternate Email Address *

ULID@louisiana.edu

Requester Contact Number *

Requester Job Title *

Requester Department *

Employee Status *

Full Time

Contractor

Part Time

Temporary

Is this a new account request or to modify an existing account? *

What is your admin account ID? *

What type of computer? *

Windows

Apple

How many machines? *

Reason for Request *

Please enter the reason you need an Administrative Access account.

Leave this field blank

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University of Louisiana at Lafayette

IT Service Desk

A Division of Administration and Finance

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Access Request - Administrative Account

Before completing this form, you are required to thoroughly read the Administrator Access Guideline.

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Before completing this form, you are required to thoroughly read the Administrator Access Guideline.