External Employee ID Request Form

External Employee ID Request Form

Requests will generally be completed within 5 business days of OHSU contact approval.

Submitter name*

External Employee First Name*

External Employee Middle Name*

External Employee Last Name*

Address*

City*

State*

Postal Code*

County*

External Employee Email Address*

Date of Birth*

Social Security Number*

Work Phone*

Phone

Home Org*

OHSU Contact First Name*

Please provide the name of the person you will be working with at OHSU.

OHSU Contact Last Name*

OHSU Contact Email*

The OHSU contact must approve the request within 14 days of submission. If approval is not granted within 14 days, the request will be closed.

Additional Information

If you have a previous OHSU EID number please enter it here.

Will work with live animals at OHSU (e.g. working on a project involving live animals).

Employment pending with OHSU