InfoAccess Account Activation

Do you have a NETID? If so, please do not use this form, instead use the InfoAccess Data Authorization Application

To set up a new account, simply fill out the form below.

Once this information is provided, you will be notified via email with your InfoAccess account information.

Note: Account activation does not provide you with access to data.
You will need to complete the Printable InfoAccess Data Authorization form .

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Name -- First:		Last:
DoIT Assigned Login ID: (if you do not have one, leave blank)
Email Address:
Department Name:
Department UDDS:
Office Address:
Office Phone Number:		() -

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