Remote Access Request Complete the form below to request a Becker Library remote access (proxy) account. These accounts are available to students, faculty, and staff of the School of Medicine. Student remote access accounts are free. Faculty and staff accounts cost $25 per fiscal year and may be paid by departmental charge or by the individual. Students enrolled in the following programs should automatically be able to login to remote access using WUSTL Key credentials and do not need to request an account. Audiology and Communication Sciences CRTC Programs (AHBR, MSCI, MPHS) Genetic Epidemiology Medicine Occupational Therapy Physical Therapy Students in other School of Medicine programs, such as DBBS, need to request an account. All faculty and staff that desire Becker Library remote access accounts must complete the form to request one. Requesting a remote access account does not create a WUSTL Key. Visit WUSTL Connect to learn about WUSTL Key. Contact Becker Library Information Services at 314-362-7080 or email@example.com if you have questions or trouble logging into your remote access account.Account Holder InformationStatus*Student accounts are free. All others will be prompted for billing information.StudentNon-Student (Faculty, Staff, Resident, Post Doc, etc.)Name* First Last Email Address* Department or Academic Program*Billing/Payment InformationSelect a Payment Option*Please select a method of payment. You must supply your department's FIS account number and a contact if you are charging to a WU account. Enter your billing address if you prefer to pay personally.Charge a WU AccountSend Me a BillFIS Billing (Dept.) Number*Billing Contact Name* First Last Billing Contact Email Address* Personal Billing Address* Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code Login InformationThe Medical Library uses WUSTL Keys for remote access authentication for all users that possess one. If you do not have a WUSTL Key or aren't sure, please enter a preferred username and password. If we find that you have a WUSTL Key during the account creation process we will inform you of the login change.Do you know your WUSTL Key?*YesNo / Not sure I have oneWUSTL Key IDEnter your WUSTL Key ID and click submit to complete the form. Note: The following login fields are intended to be different than your WUSTL Key. The Medical Library does not create WUSTL Keys.Desired UsernameEnter PasswordConfirm PasswordSection BreakQuestions or Comments:If necessary, provide additional information or details to help us process this request.NameThis field is for validation purposes and should be left unchanged.