DO NOT USE THE WEB BROWSER TO PRINT.  PLEASE USE THE PRINT BUTTON ON THIS PAGE.
ILLINOIS STATE UNIVERSITY COMPUTER SERVICES  
NVAS SIGNON UPDATE REQUEST Date Needed ___/___/___

  ____ Add a new nvas signon
  ____ Change an existing nvas signon
  ____ Delete an existing nvas signon

NVAS Name              
             

Principal User: Name _______________________________________________________________
  Dept ______________________________________________
Dept # __________
  UID _______-_______-_________  
  Phone _______-__________  
Supervisor: Name _______________________________________________________________
  Dept ______________________________________________
Dept # __________
  UID _______-_______-_________  
  Phone _______-__________  

Use with project number _________________
Use with PA1 printer _________________
First transaction started after signon _________________

Principal user signature ______________________________________________________

Date  ___/___/___
Supervisor signature ________________________________________________________ Date  ___/___/___
If Questions Call: ___________________________________________________________ Phone: _________
Comments ______________________________________________________________________________________
_______________________________________________________________________________________________
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Do not write below this line - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Received by _____________________________________________________________ Date  ___/___/___
Implemented by __________________________________________________________ Date  ___/___/___
User notified by __________________________________________________________ Date  ___/___/___
Profile name __________________


Revised  2/22/94