Account Modification Form

First Name

Middle Name

Last Name

Username

Phone Number

Date Needed

Select all that apply.

Change Last Name

from Old Last Name: to New Last Name:

Change my username to match my new name.

Do not change my username.

Your name needs to be changed at HR and the Registrar's office FIRST.

Change Username

from Old Username: to New Username:

Your email address will change as a result of this.

You will be responsible for notifying people of the change.

Change Department

from Old Department: to New Department:

This will change the departmental computer access you have--O drive, dept web space, printers, etc.

Change Location

from Old Location: to New Location:

Please enter building and room.

Change Phone

from Old Phone Number: to New Phone Number:

Change Title

from Old Title: to New Title:

Your title needs to be changed at HR FIRST.

Add Resources

Email

Banner SIS

IU Admin Systems

Web Space

For IU Affiliate Accounts: You will be required to submit an Acceptable Use Agreement online form after your IU Affiliate Account information is given to you.

Remove Resources

Banner SIS

IU Admin Systems

PU Admin Systems

Web Space

Additional Information

Enter additional information not covered above.

Requestor's Name

Requestor's Email

An email will be sent to the requestor.