UPN Authorization Form
Submit your request for UPN authorization. Please provide accurate and complete information to ensure prompt processing.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Department or Role
*
Please Select
IT
HR
Finance
Operations
Other
UPN (User Principal Name)
*
Type of Authorization Requested
*
New UPN Assignment
Modify Existing UPN
Revoke UPN
Other
Effective Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reason for Authorization Request
*
Additional Comments (optional)
Submit Request
Should be Empty: