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*

If this is a temporary account, please enter the start date.

End Date*

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*

Captcha