MD New Account Set-up or Revision Request Form

MD accounts are for MDS and SWAP-related financial transactions and service requests.

For UW–Madison departments, MD accounts are tied to a funding string and are used by MDS and SWAP to charge/credit for services or sales.

I would like to:(Required)

Create a new account (UW–Madison)

Edit an existing account (UW–Madison)

Create a new account (state agencies)

Primary account contact should be the person who can answer funding questions on the account. Department address should be the default shipping address.

Note for state agencies: MD accounts cannot be used to purchase goods from SWAP. Accounts are only to be used for requesting surplus deliveries and recouping auction commissions.

Primary account contact should be the person who will be receiving sales proceeds for property sold on-location. The department address should be the proper address to receive a check from UW–Madison.

MD account to edit(Required)

Primary contact name(Required)

Primary contact email(Required)

Primary contact phone number(Required)

UW Campus(Required)

Department name(Required)

Department address(Required)

Street Address Address Line 2 City State ZIP Code

Funding string(Required)

Example: 3100-101-022460-1

Account

Fund

Department ID

Program #

Project # (optional)

Additional comments

Name

This field is for validation purposes and should be left unchanged.