Email Create Request Form 

If you are a DOA, GOV and Office of Energy Employee and this is for a new hire then go here: New Hire Form
Information of User
First Name:  
Middle Name or Initial:  
Last Name:  
Suggested Username:  
(If the username is taken we will contact you and ask for another suggestion)
Information on Agency
Zip Code:  
Budget Code:  
Phone Number:  
Information on Permissions and Groups
Mirror to User:    
(To mirror to another known user's email groups)
Add Groups:  
(If more groups are needed, or no mirror is available)
Enable Skype:  
Special Instructions:    

Information on Requester 
First Name:  
Last Name:  
E-Mail Address:  
Information on Approving Authority

New Email Creation Requests DO NOT REQUIRE ISO APPROVAL
First Name:  
Last Name:  
E-Mail Address: