JEFFLINE  

JEFFLINE Access Request

Please fill in the form below and press the 'Submit Request' button at the bottom of the page.
Last Name: (Required)
First Name: (Required)
Middle Initial:
Title:



Gender:

(Required)
Male
Female


Social Security Number:

(Used for account verification.
We will contact you for the full
number is a new account is required.)

 

The last 4 digits of my Social Security Number are:
I do not have a Social Security Number, but will have one soon.
I do not have a Social Security Number and will not be applying for one.

Status:

Affiliation:

(Required)

Department:



Preferred Contact Method:     Telephone
Email

Daytime Phone: (Required, at least 10 digits)
Please use this format: 999-999-9999 or 999-999-9999x999)

Email Address:
Please use this format: accountname@xxx.yyy)

TJU ID Badge: (For TJU badge holders only)

How long have you had your ID?
(It can take up to 10 days for new accounts to appear in the JEFFLINE database)

Notes:

You will be asked for the following information if you forget your password: (required for new accounts)

Date of birth: (mm/dd/yyyy)

Permanent residential
zipcode:
(5 digits) Zipcode Lookup
(Non-U.S. visitors please enter your current zipcode)

 

           


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