Databases and Shared Systems Service Request Form


This page will allow the user who wants to send a databases or shared systems service request to the databases group to make a request over the Internet. Please fill out all information so that we can process your request as soon as possible. Fields with an asterisk (*) must be entered. For a new request you must provide 5 working days (depending on the complexity of the request) to process. After completing the Service Request Form, Press the "Submit Request" button to process your request.

*Today's Date: *Email Address: *Requested By:
*Department: *Accounting Budget Code: *Requestor Phone:
*Date Required: YYYY/MM/DD *YYYY: *MM: *DD:
Pick Up By: Requestor
Another Person
Unsecured (No ID Required)
 Campus Mail Return To: Requestor
Another Person
Pick Up By Person: (if different from Requestor) Campus Mail Return To: (if different from Requestor)
Phone: (if different from Requestor) Department: (if different from Requestor)

Description of Service Request (for Reports Only):
Report Requested Before?: Yes
No
Name of Report (if known):
Data on Report to Display: (ex.: MUID, NAME, DEPARTMENT)
Report Selection Criteria: (ex.: DEPARTMENT = 6645 and COLLEGE = BU)
Data on Report to Sort By: (ex.: COLLEGE, MAJOR, NAME)

Description of Service Request (Other than report type):

If you are requesting personal identification related information (ssn, dob, gender, etc), Please specify the intended use of the data you are collecting. Thanks!
                                         rev. 3/15/04