• Employee or student number should be your 7-digit Oracle employee number, or BlazerNET B-number (Bxxxxxxxx), or xxx-xx-xxxx government or UAB-issued ID number.
• Date of birth should be keyed as month, day and year (mmddyyyy or mm/dd/yyyy).
• E-mail address should be where you are currently receiving your mail, or the address you previously supplied for UAB to contact you.

Employee or student number:
 

Date of birth:
 

E-mail address: