Remote Id Request

PROXY SERVER REMOTE ID REQUEST

First Name: Last Name: SS# (optional)

LUMC I.D. Barcode #:

Email: Phone: Pager:

Department:

Status: Affiliation:

User agreement: In submitting this application I agree not to transfer or share my ARCHER ID. Any attempt on my part to gain unauthorized access to LUHS network information or to load user programs onto the network will result in the suspension of all ARCHER access.
After submitting this form you will get an email notification confirming your login and password by the end of the next business day. This will signify that you can start using ARCHER.

Feedback to: Mary J. Klatt, Webmaster
Last Modified: July 1, 2002
http://library.luhs.org

First Name:	Last Name:				SS# (optional)
LUMC I.D. Barcode #:
Email:		Phone:		Pager:
Department:

Status:			Affiliation:
User agreement: In submitting this application I agree not to transfer or share my ARCHER ID. Any attempt on my part to gain unauthorized access to LUHS network information or to load user programs onto the network will result in the suspension of all ARCHER access. After submitting this form you will get an email notification confirming your login and password by the end of the next business day. This will signify that you can start using ARCHER.