Applicant Information:
Name (Last, First, Middle Initial) SID#
New Account Type:WindowsUnixExchange E-mail Shared Acct (requires special approval)
Existing account change requests:
Addl acct Cancel acct
Transfer owner - From To
Requested User ID (3 to 8 characters long)
1st Choice: 2nd Choice:
Additional instructions or special group requirements: OU (Windows): ____________
Authorization (Please have your group's Computer Czar authorize this account request)**
Computer Czar (Print):Group Code Signature: ______________________Date:_________
**Important: The above signature must be on the SLAC authorized Computing Czar signatory list for computer accounts at https://www-internal.slac.stanford.edu/database/bin/czarlist.asp
For Scientific Computing and Computing Services use only:
UserID: _______________Acct est'd date:_________ Res update date:_________ Password to user date:_________ Method:__________ By:_______
UNIX: UID: _______ User group: _______ Date: _________ By: ____ Windows: AD/OU: ____________ Exchange serv _______Date: ________ By:_______