IT Helpdesk - Password Change Request Fax Form
Print, Follow instructions, Fax to 662-915-5750
Today's Date: Sun. November 08, 2009

Name ____________________________
Signature ____________________________
University ID# ____________________________
Phone ____________________________

  • This form allows you to request a new password to be set on your account(s).
  • PLEASE PRINT NEATLY. Use only lower case letters.
  • Indicate a zero with the symbol "Ø" and a one with the symbol "1" (underlined).
  • PASSWORD RULES:
    • Passwords must be 6 - 8 characters in length.
    • Passwords must contain at least 4 letters and 1 number.
    • Passwords should not contain your real name or WebID name.
Your Login Name
Password Requested
WebID WebID is your single sign-on to all Web-based Campus Services.
(Note that WebID passwords can usually be reset by clicking the Forgot Password link.)
Other Specify Server Name _______________________
SAP GUI Username
SAP Interface
(Production, QAS, etc.)
SAP GUI Fill this line out ONLY if you are unable to log on to the SAP GUI.

_______________________

Valid Photo IDs include:
  • University ID Card
  • Driver License
  • Passport
  • Other Government-Issued Photo ID
Requests that are not accompanied by valid photo identification or that are hard to read will cause delays and may not be processed.
Place your University ID card or other valid PHOTO ID CARD in this space. You may have to make a photocopy of this form in order to fax it. Be sure that the copy is as clear and legible as possible.

When you have completed this form, fax it with the copy of your ID Card to 662-915-5750. We will attempt to contact you only if we cannot complete your request.