Requestor Email (this is your email address)
When do you need this completed by?
What is the new Users Name? - First Name and Last Name
New User's Title
Critical Team Member? (First Priority for Service)
Accounts Requested (please select all that apply)
Windows Logon (AD)
Microsoft 365 (Email)
No Email (Software Only)
Primary Email Address (Temporary password will be set and new user will need to change on first login if next field is empty)
email@example.com (leave blank if none)
If you would like to request a password please type it above.
Office 365 Account Level
No Software, Just Email
Default and comes with desktop software
What Email groups will the new user need to be added too?
i.e. Sales, Marketing, etc.
Additional Software (CRM, ETC)
Direct Dial Information
Cell Phone (if you want it added to signature)
Special Email Signature Needs? (marketing message, disclaimer, etc.)
Will this user be seated at an existing PC location?
Equipment Needed (i.e. – desktop, laptop, mobile device, use of special printers)
Special Program Needs: (i.e. – CRM, Sage 300 access, specialty marketing software, etc)
Additional Shared File Access
Additional Connection Needs
Should be Empty:
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