iTech - University of Southern Mississippi

iTech

Office of the CIO
118 College Drive #10001
Hattiesburg, MS 39406

MCL 112 Help Desk
FCH 317 Office of the CIO

601-266-4357 Help Desk
601-266-4190 Office of the CIO

helpdesk@usm.edu

Request Form to Add Users to an Organizational or Departmental Web Account

All accounts to be modified must be authorized by the appropriate department head.

Before requesting a modification to an account, please read the Web Account policy. By filling out this application, you agree to abide by the University of Southern Mississippi Web Account Policy.

Once your account is modified, you will be notified via email. For this modification, there will be no need to pick up anything from the Help Desk.

Please email us if you have any questions

Department/Organization Information


* - Required Field
*Name of Account Administrator:
*Name of Account Administrator:	This will be the person who has authority to make changes on the account, typically the department head or chair, or in the case of student organizations, the authorized staff or faculty advisor.
*Administrator's EmplID #:
*Administrator's Email Address:
*Phone Number:
Fax Number:
*P.O. Box Number for Department:
*Official USM Dept. or Org. Name:
*Name of Account:
*List Names and EmplIDs that should be added for accessing the web account (hit your enter key after each entry): Example: John Doe 101101 Jane Doe 100100

By submitting this form, you agree to use this account as stated in The University of Southern Mississippi policies as linked on the main page. Also, you affirm that the information on this form is correct.