Non-Individual Account for Unix Access

Please complete the form and give to your ITS CSS Contact for approval and submission.

Account Information

Requested NetID:	(The NetID must be 3-8 characters in length. It should represent the Department or project for which it is being created. The ID must begin with a letter, and contain only lowercase letters and numbers. Must not match "ab123456" format.)
Initial Password:	(You must follow the password rules.)

Purpose of Account:
Display Name:
Department:
Department Budget#: (for tracking purposes only)
Account Expiration Date:
Should this account have an active mailbox?	___ Yes ___No

Account Type:

Individual (Guest) Department

Owner Information

Last Name:	First Name:
AlbanyID:	NetID:

CSS Contact Signature:

CSS Contact Printed Name:

CSS Contact Phone:

Date:

Fax To:  Accounts and Access Office, 442-3847

For Systems use only;

	Yes	No
Non-interactive?
Dawn Account?