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Help Desk

Request For Network Services

Please note: Although it is most unlikely that you will experience any problems responding to this form, certain non-standard browsers will not respond properly. If you experience any difficulties, (or if you are not using a forms-capable browser) you may e-mail your response to this form to: webmaster@ttuhsc.edu.

User IDs are restricted to faculty, staff, and registered students of Texas Tech University Health Sciences Center.

If you are are a student, please have your Department Administrator and/or School Administrator fill out this form.

NAME OF REQUESTOR
Legal Last Name: Legal First Name: Middle Initial:

Title:


Current User ID (if any):


Department: Department Chair:
Assistant's Name: Department Administrator:
Office Address/Room Number: Office Phone:
Account Number to be Billed (if needed): Asset Tag #:
Windows Login Access? Yes No
E-mail/Exchange account access? Yes No
Calendar Sharing? Yes No
Is this a new computer? Yes No
Is user transferring from another department? Yes No
Replacing someone? Yes No
If yes, who is user replacing?
Does this user need access to any of your departmental network drives?
Example: \\SERVER\SHARE
If yes, please specify the drive path(s):
Does this user need to be a member of any e-mail Distribution Lists in Exchange?
If yes, please specify the Distribution List(s):
Comments/Additional Information:
Please verify your information before sending.