To complete a PTE access form, please click here and follow the access form instructions. If additional assistance is required, complete the inquiry form below.

Contact information

First Name:
Required
Last Name:
Required
Department:
Required
Employee Group:
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)
SSN – Last 4 Digits:
(optional)

Enter the last four digits of your SSN or for the person for whom this inquiry is regarding
Enter digits only

Inquiry regarding if other than above

Employee ID:
(optional)
Name:
(optional)
Email:
(optional)

(optional)

For multiple employees access to an account, you may add the Secondary and/or Alternates within the description box.
Enter digits only