Fax: 202-687-1162, Email: netidservices@georgetown.edu NetID Password Reset and Increase in Level of AssuranceYou 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: _____________________________________________________ 5. Check one of the following options. Note that a password reset also raises the level of assurance. 6. The service to which I am primarily seeking access is: 7. Identification:
Signature: ________________________________ Date: __________________ Note: Please do not write your Social Security Number on this form and do not attach your Social Security card. |