Request approval for FormMail

If you are setting up a new email form, or have an existing form that no longer works, please use the following form to send a request for help to IRT. You can request approval for multiple email addresses and domains in one submission. Please allow up to several working days for action on your request. Please avoid multiple submissions of the same request.

Your Name (required):

Your Email (required):

Your School of Medicine Department, Division or Group Affiliation (required):

Your Daytime Phone (required):

URL(s) of Form Page(s) (if page already exists; please copy the full URL from your browser):

Custom Domain(s) (if any; please include ALL you will need enabled; they must be domains hosted on IRT's server):

Note: This is not required info, but you won't be able to use your form under a custom domain unless it's specified here

Email Addresses Receiving Mail From Form (required: please include ALL you will need enabled, including your own, if applicable).

Optional Messages