Please be sure that you have a BlazerID before filling out this form. A "BlazerID" is a central username which will be your ticket to many UAB services throughout your tenure at UAB. It also provides you with an email address, which is YourBlazerID@uab.edu.
You can obtain a BlazerID at UAB's "BlazerID Central" webpage: http://www.uab.edu/blazerid. Be sure to click Yes to the question "Do you want a UAB email account?"
Once you have your BlazerID, please print and fill out the form below. Please be sure to include a valid email address so that you can receive a confirmation email when the account has been created.
Please return this form to the IT Manager in one of the following ways:
- in person, McCallum Building (MCLM) 701
- via campus mail, MCLM 701, zip 0005
- via fax, to 4-7029