Account Request Form - Auburn University | College of Veterinary Medicine

Requester Name*
First Last
Requester Email*
Enter Email Confirm Email
Request Type*
*** If this is a modify account request please explain what needs to be changed in comment box
Access Level*
Applicant's Name*
First Last
Applicant's Auburn Email Address*
Enter Email Confirm Email
Applicant's Banner ID*
Applicant's Building*
Applicant's Room*
Applicant's Phone*
Applicant's Group*
Other Group*
Paid Employee*
Account Type*
Start Date*
Date Format: MM slash DD slash YYYY

If this is a temporary account, please enter the start date.
End Date*
Date Format: MM slash DD slash YYYY

If this is a temporary account, please enter the date to cancel the account in the box above.
UVIS/Vetview Access*
UVIS Inventory Areas*
Control click to select multiple
Comments*
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