Fillable The University of Texas as Tyler Personal Identification (University of Texas at Tyler)

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The University of Texas as Tyler Personal Identification (University of Texas at Tyler)

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The University of Texas as Tyler
Personal Identification Number (PIN) Update Form
The University of Texas at Tyler ▪ One-Stop Services Center, STE 230 ▪ 3900 University Blvd. ▪ Tyler, TX ▪ 75799
Updated 2/2019
Current or former UT Tyler students may use this document to establish, update, or delete their Personal
Identification Number (PIN) on file with UT Tyler. Once setup, students may use their PIN to establish a positive
identification when communication with UT Tyler school officials via remote channels, including by phone or a
non-Patriot email. Current students are encouraged to update their PIN via Student Center whenever possible.
The PIN can contain up to ten (10) characters, including any letter, number, or symbol available on a standard
keyboard. Students are encouraged to select a PIN that they can reliably remember, but that would be very
difficult for a third party to guess. Once a PIN has been selected, students are encouraged to record it in a secure
secondary location, as it will be masked in the Student Center page once entered.
To protect your data security, this PIN should be known only to you; never share it with anyone other than a UT
Tyler school official for the purposes of verifying your identity.
This form must be submitted to the address listed at the bottom of this form per the following guidelines:
o In person by the student/alumnus named in Section A with a valid photo ID, at the One-Stop Services
Center (STE 230) or
o in person by an agent of the student/alumnus in conjunction with original or certified copies of legal
documentation establishing their right to act on behalf of the student with specific regard to education
records, or
o via mail by the student/alumnus named in Section A along with a confirmation of their identity provided by
a Notary Public.
Note: Students and alumni in the Houston, Longview, or Palestine areas may submit this form to a UT Tyler
school official at the campuses in those cities.
A. Student Information (Please print)
NAME (FIRST, MIDDLE INITIAL, LAST)
CURRENT ADDRESS (STREET/PO, APT., CITY, STATE & ZIP)
PRIMARY DAYTIME PHONE NUMBER
STUDENT ID NUMER
B. Personal Identification Number (PIN) Options
□ Create / Update my PIN to read as: __________________________________________
(Please write as clearly as possible, in large characters)
□ Delete my PIN
C. Authorization Certification:
STUDENT’S (OR AGENT’S) SIGNATURE
STUDENT’S (OR AGENT’S) PRINTED NAME
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The University of Texas as Tyler Personal Identification (University of Texas at Tyler)

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Completed 30 August 2020

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