Information Technology

Information For:

Network Request Form

To be completed by USI employees in order to obtain a UserID for the USI network and/or USI web site. The results of this request form will be sent to your fiscal agent via email for approval. Once approved, the fiscal agent will complete the request by forwarding the email confirmation to the Director of IT.

Network ID Request Form

Employee or Faculty Sponsor ID:

Ex. 111-22-3333 or 000111222

First Name

Last Name

Department Name

Department Phone #

Ex. 555-555-5555, 5555555555

Department Office #

Check appropriate information below:

Outlook (Faculty/Staff Email) Account - UserID@usi.edu
MyUSI Special Request
Web Developer - Specify Web Folder Below
Other Server - Specify Other Server Below

Web Folder

Other Server

Choose your status:

Student or Student Worker
Faculty or Staff

A Valid Email Address of your Fiscal Agent or Faculty Sponsor:

By submitting this request form, I understand that when I am using the USI Local Area Network, the Internet, or other telecommunications device, I must adhere to all rules of courtesy, etiquette, and laws regarding access and copying of information as prescribed by either federal, state, or local law; the host environment and the University of Southern Indiana.

Network Request Form

Network ID Request Form

USI Contact Form

Sending To: Information Technology

USI Email Form

Sending To: