Administrative Systems Access Request

This form allows Administrative Systems Coordinators and clients to request access to various administrative IT systems and services including Exchange Email, Department Servers, ISUAS/ADIN online systems, File Transfers, MS Query (CAE), and others. It should be used only for those services listed. If you need to request new hardware, software, or other items not mentioned on this form please contact the Solution Center at 515-294-8034 or email ITS - Equipment Request.

Requested
Service(s)	Email (Exchange/Outlook) Department Server ISUAS/ADIN MS Query (CAE) Other (Specify in Comments) Remove Services (Specify in Comments)
Effective Date
By (Your Information)
Name
Net ID	@iastate.edu
Phone	(AAAPPPNNNN or PPPNNNN)
For (Client Information)
Name
Phone	(AAAPPPNNNN or PPPNNNN)
Department
Billing Number	(Fund Account)
Net ID	@iastate.edu
University ID
ADIN ID	(Optional)
ITS Service Tag	(Formerly "Blue Tag")
Location	(Building and Room)
IP Address	(Optional)
Jack Number	(Optional)
Operating System
Comments
Please include any special instructions, access services not specified in this form, or alternate contact information.

	If you have any questions regarding this form, please contact 4-4000.

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Information Technology

Administrative Systems Access Request

Requested

By (Your Information)

For (Client Information)

Comments