Employee Action Form - New Employee Account Request

New Employee Account Request
Part 1: Employee Information
Directions:
- HR: Complete Part 1 of the form below and click submit to sent it to the selected supervisor to complete.
- Supervisors: Review Part 1 and scroll down to complete Part 2 and click submit to to create and IT Ticket to create the user account.
- Job Title
- Employee Name
  
  First NameLast Name
- Last 4 digits of Employe SSN
- Employee Birthdate
- StudentEmployeeBothNeither
- Home Campus
- Division
- Department
- Employee Start Date
  
  MonthDayYear
  Date
- Employee Status
- Supervisor*
- Supervisor Email
- Other Notes About This Account
- Enter Submission Code*
- Yes
- Name of HR Staff Submitting Form
- Part 2: Account Requirements for Employee
  
  Directions: The supervisor will review the ticket submitted by HR and then fill out the remainder of the form to indicate the IT requirements for the employee. Once the form is submitted and IT ticket will be created.
- YesNo
- YesNo
- YesNo
- Shared Email Address(es)
- YesNo
- Please list the name of the Department Shares
- YesNo
- Banner Permission Level - Please list existing employee permissions to copy
- Yes - New PositionNo - Replacing Existing Employee
- Enter Name of Employee being Replaced
- Yes - New Phone number will be neededNo - Will use existing phone number
- Enter Existing Phone Number
- Misc Items
- Yes
- Should be Empty:

New Employee Account Request