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Authorized Signer Online Services:
Basic Computer Account Application

Departmental authorized signers may use this form to set up a basic service account on the University Park Faculty/Staff computing facilities. All others should contact their authorized signer to request account setup.

Research accounts require the Research Account Application.

Authorized Signer Authentication:
This information is required to verify your identity. Your password is protected via secure transaction.
User Name:
Account type: UPC Faculty/Staff
HSC Faculty/Staff
Faculty/Staff in the Chemistry Department
ISD Staff or Faculty/Staff in the Computer Science, Computer Engineering, or Physics Department
Applicant Information:
Please provide all of the information requested below. Name must exactly match payroll records. Incomplete or inaccurate applications cannot be processed.

 Last Name:
 First Name:
 Middle Name:
 Employee ID no:
 University Park
Faculty Staff
Visiting Faculty/Scholar
 University ID (USCID):
 DOB :
 USC Department:
 Campus Phone:
 Campus Address:
 Mail Code:
 Home Phone:
 Home Address: