- Generated Employee Records may only be requested for employees within your department.
- You may not request your own ER. - If the employee is transferring, please contact the prior department for the ER.
- If the ER is not available the prior department should submit the request.
- ERs will be distributed on Wednesdays and Fridays

Contact information

First Name:
Required
Last Name:
Required
Department:
Required

Enter your @pitt.edu for best results
Email must be in a valid format

Valid formats are (xxx) xxx-xxxx or xxx-xxx-xxxx
FAX Number:
(optional)

ER Request for

Employee ID:
Required
Name:

Required
2nd Employee ID:
2nd Employee Name:
3rd Employee ID:
3rd Employee Name:
4th Employee ID:
4th Employee Name:
5th Employee ID:
5th Employee Name:
Reason:

Required


Submit a separate inquiry for more than 5 ER requests
Required
ER Delivery Instructions:
Delivery Instructions must be provided