University of Southern Indiana
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

Ex. 111-22-3333 or 000111222
Department Name
Ex. 555-555-5555, 5555555555






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.


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  • 8600 University Blvd.
  • Evansville, IN 47712
  • 812/464-8600
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