Dental Informatics Account Deletion Request Form

This form is intended to provide information to Dental Informatics in order to assist UofL's IT Security & Account Management unit with removal of ULSD staff, faculty or sponsored accounts.

Account deletion request form

Your name *

Your email *

Your phone number *

Name of user to be deleted *

Ulink username of user to be deleted *

ID # of user to be deleted

Date for account deletion/removal *

Date for account deletion/removal : Day *

Date for account deletion/removal : Month *

Date for account deletion/removal : Year *

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Dental Informatics Account Deletion Request Form

Account deletion request form

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