Unix Access Request Form
  New         Modify         Delete	
Name:

Phone: 
Fax:      
Email:
	Organization:
 
Bill Code:  
State Employee?     Yes        No
If No, Contractor’s Employer:     

Contract Expiration Date:  	
Unix Server/Hostname:  
Logon ID:                                              (1-8 made up from name, i.e. John Smith’s ID is jsmith)
Preferred Shell (select one):      Bourne        Korn         C
Application access?     Yes        No
Purpose of access:  (be very specific) 
	
Group(s):

	Web Site Update Access (if applicable)
Write Access Permissions (select only one) :
           Home directory only
           Entire Web Site
           Specific subdirectories (list below)
	
Authorized by: 
Phone:  	Title:	
Email:  	
ITS Use Only:
Login:
UID:
Pri Group:
Pri GID
Sec Group:
Sec GID:

	
Auth:
Name:
Phone:
Org:
Shell:
Home:
Expire:	

	
To check a Check Box:  Double click on check box and select “Checked” under “Default value”.
Requests will only be accepted from authorized managers for the Unix server or Web Site cited above.
Please complete the form and Email to:
Email:     servicecenter@its.nc.gov		Office of Information Technology Services
						UNIX Platform c/o ITS Customer Support Center
Telephone: 919-754-6000 or 1-800-722-3946		PO Box 17209
Fax:            919-850-5174				Raleigh, NC 27619-7209