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

You can obtain a BlazerID at UAB's "BlazerID Central" webpage: 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.  

 CDIB Information Technology Server Access Request 

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