Request Access Account for County-based Employee
This form, available in PDF format here, should be used when a county-based employee applies for a Penn State Access Account.
The form was modified from the Information Technology Services, Consulting and Support Services (ITS) version to facilitate account processing for county staff. Additional information about Access Accounts is available at the ITS's Access Account web site.
IF the staff person is benefits eligible from PSU, then they need to complete the form in their benefits package and NOT use this PDF form.
Access Account Application PDF
- Print and complete the form.
The form should be filled out carefully since once a User ID is assigned, it cannot be changed. The Access Account Application form is 2 pages with an agreement statement that the applicant will need to abide by.
- Have supervisor sign if necessary.
A supervisor's signature is required for wage payroll or county-paid employees.
- Make a copy for office records and send original to UP.
Send the completed paper form to:
Ag IT Computer Unit - Access Accts
405 Ag Admin Bldg
University Park, PA 16802.
Once the Ag IT Office receives a form, we will notify you when we receive the User ID and password back from PSU ITS.