Windows Active Directory Account Adjustment Request Form

  • Faculty & Staff

This form is intended for faculty and staff in the School of Arts & Sciences at the University of Pennsylvania to request the adjustment of Windows Active Directory accounts belonging to users whose role or department changes within the School. This form should be filled out by the approving new supervisor.

Note: This is not for account closures. To request that an account be closed, use the form for requesting removal.

Once we receive your request, we will email the supervisor to confirm permission for the requested changes.

Please be sure to fill in all of the fields below. If we find that necessary information has been omitted, we may have to ask that you resubmit your request.

New Supervisor Information

Old Supervisor Information

User (whose account is to be altered) information


If the user is changing departments

If the user is changing roles within a department

Windows Active Directory Account changes

MeetingMaker Account changes