SMHS Technology Support Center
Home
/ Forms
New User / Account Maintenance Request
This form is intended for account creation, deletion, modification, and lockout.
All requests must be submitted by the user's supervisor.
Separate forms must be completed for each individual.
Missing information will delay the process.
After executed, CASS will email the supervisor a confirmation.
Unless otherwise noted,
all
fields are required.
Requests should be made at least 24 hour in advance.
By default the user's home drive will Not be created.
Permissions Maintenance Type
Add permissions. Select this for new users in your department.
Edit permissions. Select this for existing users in your department who need new or different access.
Remove permissions. Select this for users who are no longer in your department.
Effective Date
Supervisor Information
Department / Division
- select -
Anatomy
ANDI
Anthropology
Biochemistry
Biomed
Cancer Center
Cancer Institute
CASS
CEH
Clinical Research and Leadership
Development
EMD
Genetics
HCS
HSP
Immunology
MCM
Med Library
Med School Admin
Microbiology, Immunology & Tropical Medicine
Pathology
Pharmacology/Physiology
Physical Therapy and Health Care Sciences
Physician Assistant Studies
Research
Surgery
Other
Enter the other department name
If your department is not listed, select "Other" and enter the other department name.
Name
First
Last
NetID
@gwu.edu
Phone
(xxx) xxx-xxxx
User Information
Name
First
MI
Last
NetID
@gwu.edu
Title
Building
- select -
2000 Penn Ave
2030 M Street
2100 West Penn
2131 K Street
Himmelfarb Library
Ross Hall
SEH
WaterGate 2600 Virginia Ave Suite 300
Other
Enter the other building name
If your building is not listed, select "Other" and enter the other building name.
Room/Suite Number
Phone (optional)
(xxx) xxx-xxxx
SMHS FollowMe Printer Access
Grant Access
