New! If requesting a Service Account, please use this form.
For assistance, contact Technology Service Desk. Services normally will be established within two working days after the form is received.
Required fields are denoted with a red asterisk (*).
EMPLOYEE / CONTRACTOR INFORMATION:
BASIC COMPUTER INFORMATION: (Technology Service Desk can help provide this information.)
UCOP IT SERVICES REQUESTED: (Check all services being requested. Please note that a supervisor's approval is required.)
AUTHORIZATION OF CHARGES FOR UCOP IT SERVICES