BUMC Account Creation Request

BUMC “Y” Drive access and/or Outlook/Exchange Account Creation Request

This form is to be used when requesting a BUMC account and/or an Outlook/Exchange e-mail account. It is intended to be filled out by the new employee’s supervisor or department Administrative Assistant.Please fill this form out completely. This form will generate an e-mail to the supervisor for authorization.Note: The user will need an ACS e-mail account before a BUMC account is created (click here to open a new window outlining the account creation order). Contact the Medical Center Library or our Helpdesk at 617-638-5914.

For more information on the various accounts please click here to open a new window detailing the various accounts.


New Employee Information
First Name=
Last Name:
Status:
University ID:
Preferred Method of Contact:
BU Email Address:
Work Phone:
Mobile/Other Phone:
Building Location: (Building Letter & address)
Room Number:
Machine Information
Machine ID#: a red, black, or orange sticker with a 6 digit number (ex. 912345).
Machine Type:
Administrative Information
Dept. Name:
Lab/Group Name (if affiliated with a specific lab/group within the department):
Dept. Location:
Name of Supervisor and/or Administrator:
E-mail of Supervisor and/or Administrator:
Access Requested
Does the user need a personal folder on the “Y” drive?:	- Select One -
What access does the user need access to the Department’s “Dept” folder on the “Y” drive?:
What additional project folder(s) does the user need to access? (if any):
What level of access does the user need for these project folders?:
Does the user need an Outlook/Exchange mailbox?:
What Outlook/Exchange Public Folders does the user need to access? (if any):
What level of access does the user need for these Public Folders?:
Expected duration of account:
Brief description of the reason for the account creation or other comments:

Remember: There are fees associated with this account request: either a $75/hr or $200 annual service contract to configure the new account on a computer.

Boston University Medical Campus
Information Technology