PINS Investigator or EPA Employee Request (if EPA/Faculty not yet in system)

Requester's
Information
Name:
Department Name:
e-mail:
New Employee's Information
NAME:Full, proper name including middle initial
Unity ID:
e-mail address:
Department Name:
Job Title:For example, Asst. Professor, Coordinator, Assoc. Director, etc.
Employee Id #:
DO NOT include SSN. The ID we need is the 10 digit employee number found on your employee ID card or in PeopleSoft
Additional Comments: