Windows Domain / Office 365 Email Account Request Form

Use this form to request a new UR Active Directory and/or Microsoft 365 email account or to modify an existing account.

Requests should only be submitted by supervisors or authorized departmental IT representatives.

Contact Information
Manager/Supervisor or authorized departmental IT representative
Name*
First Last
Phone Number*
Email Address*
Department*
Users in Arts, Sciences & Engineering are automatically provisioned. Contact the IT Help Desk if you require assistance with an Arts, Sciences & Engineering account.
Action Requested
Request*
- Create new UR Active Directory and Microsoft 365 email accounts
- Create new UR Active Directory account only
- Create new Microsoft 365 email account for existing UR Active Directory account
- Modify existing UR Active Directory account
- Modify existing Microsoft 365 email account
Desired Effective Date*
MM slash DD slash YYYY
Employee Information
Account Holder's Name*
First Last
Phone Number*
Department*
Employee's Supervisor*
First Last
New Accounts
Hidden
Name of a person with an existing account that this user will need similar access to
First Last
Username
If this new user has an existing account (username/ID) on any University of Rochester system, provide it here. We will try to assign the same username if possible. You may also specify a desired username.
Changes to Existing Accounts
Changes requested*
Additional Information
Optional Comments

Contact Information