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 From:    
(To mirror to another known user's email groups)
Add Groups:  
(If more groups are needed, or no mirror is available)
Enable Skype:  
Is this a Service Account?:   
What is a Service Account?
Accounts on which automated system functions (services) are dependent to execute. A service account does not correspond to an actual person. These are often built-in accounts that an automated system function (service) uses to access resources it needs in order to perform its activities. 
Special Instructions:    

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