University of Southern Indiana

Network ID 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 Information Technology Department.

Network ID Request

Submitter Information




New Employee Information





Ex: 111-222-3333

Include building and room number
If you are filling out this form for a generic (ex. enroll@usi.edu) account, use the New Employee information fields to enter. Requested Display name (Enrollment Services), who should have permission to account, how account will be used.  You will need to populate all required fields with something.
Request Details

Check all that apply.




Need assistance with this form?

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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