CDIB IT: Request Server Access

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 This email address is being protected from spambots. You need JavaScript enabled to view it. .

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.  

 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