Information Technology
2413 LaPorte Avenue
Fort Collins, CO 80521
PSD Employee IT Account
Request/Change Form
Need assistance filling this out? Call 490-3456
YOUR ACCOUNT WILL NOT BE ISSUED UNTIL 24 HOURS AFTER YOU HAVE VISITED THE
PAYROLL OFFICE AND COMPLETED ALL OF YOUR PAYROLL PAPERWORK
Please read through the account information on the back of this form to determine which accounts you will need
set up as you start your new position. You’ll notice that some accounts are required for all users. The other
accounts may or may not be accounts that you need. Please work with you supervisor or BTC to determine what
optional accounts you will need to perform your job. Once the accounts have been created, your supervisor and
BTC will be notified with your account specifics.
Please send completed form to the Help Desk at the ITC Building or FAX 490-3411.
First and Last Name
Employee ID or SSN
Primary Work Location
Work Phone
(Please Print Clearly)
Job Title(s)
Job Responsibilities
Immediate Supervisor
Please sign and date this form. By signing this form you agree to the Terms and Conditions for use
of PSD Computer Accounts. You understand that changes are made occasionally to the Terms and
Conditions and agree to abide by the current version of the Terms and Conditions document as
posted electronically on the System. (Hard copy of the Terms and Conditions is available upon
request.) Any violation of the Terms and Conditions will result in immediate removal of your
account and may be grounds for legal action.
_________________________________________
Employee Signature
____________
Date
_________________________________________
____________
____________
Signature of Supervisor or Building Technology Coordinator
Date
Email address
NOTE: UNSIGNED APPLICATIONS WILL BE RETURNED TO THE SITE UNPROCESSED.
Information Technology use only:
Staff Login: _______________
Notes
□ TEMPORARY ACCOUNT
___ Domain/Email User Account
This is required for you to login to your computer and email system.
___ SILK Student Information System
Access privileges based on job responsibilities; make sure to fill out this section on page 1.
___ GradeBook Attendance Viewer
___ GradeBook Principal Viewer
___ Bitech – PSD Financial software
Access privileges will be based on job responsibilities.
___Name Change
Current User Name____________________________
New Name__________________________________
___Changing Work Location
Current Location_______________________________
New Location__________________________________
___ PSD Intranet Applications Account
Available applications:
__ Applicant Interview Comment System
Signature of approval from Personnel Department: ___________________________
__ Building Security Maintenance
Signature of approval from Security & Operations:___________________________
__ Commercial Drivers License System
Signature of approval from Transportation Department:_______________________
__ Communications Device Tracking System
__ Lock/Key Management System
__ NWEA Level Test
__ SRO/CSO Activity Log
Signature of approval from Security & Operations:___________________________
__ School Textbook Circulation System
__ Vehicle Accident Reporting
__ Vehicle Accident Review Maintenance