Email Service Account Request

Account Name Requested*

Directory Listing (Name that shows in Outlook)

Account Email (prefix) Requested*

Domain (suffix) Requested*

Account Type

Description*

To be used for...

Linked Accounts*

Please list the NetID Usernames, that need access to the account. * Linked accounts = service account shows in Outlook

Department

Requester Name*

Authorized Admin (Account owner/manager). * Authorized Admin = ability to managed access, linking and un-linking users.

Requester Email*

Phone

This field is for validation purposes and should be left unchanged.