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
Request Type *

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

Note: All set-ups require 5 business days for completion.
General Information

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

Request is for: Employee Temporary Resource Contractor
Employee/User Full Name *
Full Preferred Name *

If the user prefers to go by a name other than their legal name (ie Joe instead of Joseph). This will be used for email set up preferences.
Existing User Phone # Existing User Phone # * - ### - ### ####
Existing User eMail *
Job Title *

Enter the role or title the new employee will be assigned.
Department *
If Other, Please specify *
Region *
Select Dept Charge Code *
If Other, please specify *
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 advance notice to get all of the items ordered, set up and delivered.
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, 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, Please specify *
Save my progress and resume later
Enter Your Email Address *

A special link to resume the form will be sent to your email address.

IT Onboarding / Change Request

IT Onboarding / Change Request

General Information