EMPLOYEE SYSTEM ACCESS REQUEST

EMPLOYEE SYSTEM ACCESS REQUEST

New Hires / Re-Hires / Terminations
REQUEST TYPE *
EFFECTIVE DATE

Month Day Year
Date
HIRING MANAGER *
HIRING MANAGERS EMAIL ADDRESS *
example@example.com
STATION *
DEPARTMENT
Submit Request To: *
EMPLOYEE INFORMATION
EMPLOYEE NAME

First Name Middle Name Last Name
EMPLOYEE TYPE
POSITION/TITLE
MOBILE PHONE NUMBER
REQUESTED EMAIL ADDRESS
(First Initial Last Name at Station Domain -- jsmith@station.com)
DESK LOCATION
(If applicable, name of employee being replaced)
COMPUTER
If applicable, name of employee being replaced
DESK PHONE
If applicable, Enter Extension number
SELECT SYSTEMS/SOFTWARE ACCESS NEEDED
IT SYSTEMS

Network/AD M365/Email Teams KnowBe4
FINANCE

Business Central Solver ADP Bank Access
NEWS OPERATIONS

Octopus Rayos (WordPress) Field 59 Social News Desk Adobe Apps (specify below)
SALES/TRAFFIC

WideOrbit Traffic WideOrbit Media Sales ShareBuilders Efficio Monarch (Matrix) Digital AdOps (GAM)
ADOBE APPS
OTHER SOFTWARE REQUESTS
OTHER SECURITY/ACCESS REQUESTS (i.e. Distribution List Access, Shared Mailboxes, SharePoint Sites etc.)
Should be Empty:

SELECT SYSTEMS/SOFTWARE ACCESS NEEDED