1. Name: ______________________________________________________
2. NetID: |___|___|___|___|___|___|___|___|
3. Department:__________________________________________________
4. Daytime Phone:___________________
5. Other Phone _________________________
6. University ID Number: |____|____|____|____|____|____|____|____|____|
7. On a separate page, please provide a copy of two photo IDs (for example, a driver's license and University ID).
8. Please provide a password below. To create an acceptable password, follow these instructions:
Choose an Acceptable Number of Characters. |
A Network ID password can be from 8 to 12 characters long. |
Include the Right Variety of Characters. |
A password must contain at least one character from each of the following three character classes:
|
Don't Use Prohibited Characters. |
Your password must not contain spaces, tabs, control characters, non-Roman alphabet characters (such as Chinese characters or letters from the Cyrillic alphabet), or characters with accents or other marks (such as é, ñ, or ö). |
Don't Use Prohibited Patterns. |
Your password must not contain parts of your Network ID, dictionary words or dates, or patterns such as mirrors, repeats, and alphabetic or keyboard sequences. |
Don't Use Sample Passwords. |
Your password cannot exactly match examples given in CITES documentation. |
| NOTE: For optimal security, we recommend the following: |
Please shred this form once you have verified that your new password works. |
BE SURE to mark the following ambiguous characters clearly, as shown:

In addition, please write the appropriate
word under the ambiguous character.
(For example, write
the word "zero" under a space that has a zero in it.)
Requested NetID password (8-12 characters):
|____|____|____|____|____|____|____|____|____|____|____|____|
Signature:____________________________________________________
Date:_______/____/_______
CITES Help Desk
Campus Information Technologies and Educational Services (CITES)
http://www.cites.uiuc.edu/accounts/services/
1211 Digital Computer Lab; 1304 West Springfield Avenue, Urbana, IL
61801
Phone: (217) 244-7000 or (800) 531-2531; Fax: (217) 333-4368; Email: consult@uiuc.edu
Revised 5/22/06