KU School of Medicine-Wichita: Information Technology Services

Common Links

Use this form to request and terminate network and e-mail accounts for faculty and staff employees. Fields are required unless specified as optional.

Request Type
New Account
Terminate Account (If this is an immediate termination call the Help Desk at 3-2605, option 1 as soon as you have completed this form.)
Add/remove access to existing account

Employee Information
First Name
Middle Initial (optional)
Last Name
Title
Department
Affiliation
Extension
Fax (Optional)

Supervisor Information
Name
Extension
E-mail

New or Updated Accounts
Network Login
GroupWise E-mail
Access to Shared Departmental Directory (s: drive)
Other applications or shared directories: Please specify below.

Disabled Accounts
Provide access to exiting employee files to:
To request or remove a PeopleSoft Financials account, visit the AFS Web site

Finish
Date needed
Other information or comments (optional).

IT> Information Technology Services> Accounts > KUSM-W Account Form

Page last updated: November 8, 2007
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