You may use this form if you have forgotten your NetID, NetID password, or if you need to have your level of assurance raised. Print this form, complete the information and fax it to 202-687-1162.

A confirmation email message will be sent to the address specified below.

1. My NetID: ______________________ Graduation Year: ______

2. Last Name:_______________________ First Name:_____________________ MI: ___

3. Daytime Phone Number: ______ - ______- ________

4. Email Address: _____________________________________________________
Please write legibly as we will write you at this address once the request is completed.

5. Check as many as apply:
____ I have forgotten my NetID and password. Please reset my NetID password.
____ I know my NetID and password. Upgrade my level of assurance.

6. The service to which I am primarily seeking access is:
____ Student Access+ (for unofficial transcripts) ____  Alumni Admissions Program web site
____  Lauinger's Library Link (EBSCO databases) ____ Update @georgetown.edu email routing

7. Identification:
Place a photocopy of a government-issued photo ID card (such as a driver's license or passport) on this sheet or send it on a separate sheet of paper. Please make the photocopy on the lightest setting. Requests cannot be processed without a valid, legible photo ID.

Signature: ________________________________ Date: __________________

Note: Please do not include your Social Security Numbers on this form!