IT Onboarding / Change Request

NOTE: Only the ROM, Office Manager or Branch Administrator may submit this request!!!! (exception HR Manager)

Use this form to request IT equipment orders, network, and system set up for new employees, new users or to request a change for an existing employee's access or to process a termination.

1Basic Infromation > 2Equipment Setup > 3Mobile Setup > 4Mail Set up > 5Network Setup > 6Software Requested > 7Standard Equipment > 8Concur > 9Credit Card
General Information

This is general information about the employee and their role to assist with set up.
Request Type *

Request Type New User / Employee Equipment Transfer Update for Existing User Replacement and/or Lost Device Re-image/Repair Existing Device

Note: All set-ups require 5 business days for completion.
Request is for: *

Request is for: Employee Temporary Resource Contractor
Employee/User Full Name/Legal Name Employee/User Full Name/Legal Name * First Last
Full Preferred Name Full Preferred Name * First Last
Name of the Supplier/Agency or company that this person will invoice through *
Existing User Phone # Existing User Phone # * - ### - ### ####

If no exiting phone #, use 111-111-1111
Contractor Work email *
Existing User eMail *

If no existing email, put None
Job Title *

Enter the role or title the new employee will be assigned.
Department *
If Other Department, Please specify *
Region *
Select Dept Charge Code (IT NOTE: AD = Department) *
If Other dept Charge Code, please specify *
Offer Letter Date Offer Letter Date * / MM / DD YYYY

Please indicate the date that you sent out the offer letter to the employee. This should also be the date you notified the temp agency to assign you a resource.
Employee Start Date / Date to complete request by Employee Start Date / Date to complete request by * / MM / DD YYYY

Set the date you expect the person will be starting with the company. If submitted by 2:00 PM PST, we will work towards
a 5 day turnaround to get all of the items ordered, set up and delivered. WE CANNOT PROMISE THIS REQUEST WILL BE COMPLETED IN LESS THAN 5 DAYS.
Name of Person Completing this Request *

Indicate the name of the person completing this form.
Requestor's email *
Employee's Direct Supervisor's email *

Please indicate the email for who this person will be reporting into.
Permanent Office Address *

Confirm this is the correct address where the equipment will reside and be set up
Other Permanent Office Address, Please specify
Office/Cube #

This will help person conducting physical set up ensure they are setting up in the correct location. if a office/Cube # has not been assigned, then indicate where in the office the set up of the equipment should occur.
Deliver Equipment to this Location? *

Deliver Equipment to this Location? Yes No No equipment required
Location where equipment should be delivered *
Other Location for delivery, Please specify *
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Enter Your Email Address *

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IT Onboarding / Change Request

IT Onboarding / Change Request

General Information