Linus Account Request Form

Only Yale faculty and staff should use this form.

Please fill in your information below and press the send button.
Your information will be sent to Shanti Kunchaparty at Academic Computing via email.
Once received, you will be called for confirmation.

Account Owner Information

Name:

Soc.Sec.Number:

Department:

Address:

email :

Phone: Fax:

Billing Instructions

How do you want to pay for your account?

Charging Instructions Personal Check

Charging Instructions: