Page 40 - eBook Version 8 Book 1 of 2 JUL 2022

In Section II, provide your (the requestor’s) contact information. If submitting on behalf of someone else, please enter their contact information and not your own. Required information is:
Last Name
First Name
Official Email address (e.g. no Gmail, Yahoo accounts)
Specify as to whether you are a UTSW employee
Work phone number
Department or Center (e.g. Pediatrics, Surgery, Gastroenterology)
Job Title is Not required, but if available should be entered to help inform IT personnel.
Not required, provide if available
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