Departmental Contact Update

Departmental Contact Update

Unit Requestor Name*

Name of individual in the unit making the request.

Unit Requestor Email*

Email address of individual in the unit making the request.

Unit*

Select or enter value

(If Other) Unit*

If the unit name is not in the above dropdown, please list the unit name here.

Role Changing*

Please select from the following options. You have the option to select multiple roles if applicable.

Chief Business Officer

DLSA

Faculty Affairs Liaison

HR Liaison

HR Teams (Team 1, 2, etc.)

Office of Faculty Affairs Contact

Reporting Liaison

Send the new CBO a list of access request links?*

If you select "yes" below, the new CBO will automatically receive an email with links to request CBO-level access to various systems.

Yes

Effective Date

On what date will this change be effective? (If blank, we will assume that the change is effective immediately.)

Add or Replace?*

Is this individual replacing someone else or being added in addition to the current individual(s) in this role for the unit?

Replacement

Addition

Removal only

Replacing

What individual(s) will this person be replacing? We will use this information to update websites, permissions, etc.

New Name*

Please enter the name of the individual being added. If this is a removal only (rather than replacement), enter that individual's name.

New Email*

Please enter the email of the individual being added. If this is a removal only (rather than replacement), enter that individual's email.

New MyID

Please enter the MyID of the individual being added. If you cannot find this, leave it blank.