1

Please Note:
Only submit this form when I9 has been completed & submitted.
This is due to Plexxis onboarding process.

2

Terms and Conditions* This field is required.

3

Requestors Name* This field is required.Who is submitting the form?

First Name

Last Name

4

Requestors E-mail* This field is required.Used so we can update you on the progress!

example@example.com

5

Requestors Role* This field is required.What role describes you?

Superintendent

HR

Project Management

6

Provide the device name* This field is required.Settings -> General -> About -> Device Name -> BGTBLT123

7

Are there any problems with the iPad?Ex: The iPad isn't getting LTE internet service, Apps & iOS version needs updating

YESNO

8

Please explain the device problems* This field is required.

9

End-users role/position* This field is required.

Foreman

Project Manager

Superintendent

10

Name of the End-user* This field is required.Person who the device is going to

First Name

Middle Name

Last Name

Suffix

11

End-Users phone number* This field is required.Used for inventory tracking & contacting them if needed

Please enter a valid phone number.

12

Please select an option that represents the foreman's situation. * This field is required.

New/Re-hire Foreman

Current Foreman

13

Does this Foreman have a Berg-Issued E-mail?* This field is required.Ex: jberg@berggroup.us

YESNO

14

Since you selected NO, The Berg Groups IT Department will need to make an E-mail for them.

15

Provide the Foreman's E-mail* This field is required.Ex: jberg@berggroup.us

example@example.com

16

Provide the Foreman's Employee Number (If Known)Ex: BG123456

17

Is this Foreman using a Group account for PlanGrid?Ex: Target-Plans@berggrouop.us

YESNO

18

Will this Foreman need a personal company issued Plan-Grid account?Some foreman have their own accounts instead of group accounts.

YESNO (Already created/No need)

19

Will this Foreman need jobs to be added to their PlanGrid account?

YESNO

20

Please list the jobs this Foreman will need.We will add the jobs to their Plan Grid account!

21

Does this foreman need a Plexxis Foreman App Account?* This field is required.

YESNO

22

Preferred Arrival of Account Creations* This field is required.

Date

23

Anything else we should know about?

24

HR/Payroll Questionnaire

(It will be shown if a NEW Foreman is taking over the iPad)

25

Does the Foreman need access to Arcoro HR app?*For completion of I-9s

YESNO

26

Cell Phone Pay?

YESNO

27

Cell Phone Pay Amount:

28

Car Allowance or Company Car?

Car Allowance

Company car

Not Needed/NA

29

Car Allowance Amount:* This field is required.

30

Will Foreman be paid to scale at the Foreman rate listed on union wage sheet? (If above foreman scale please contact Payroll@berggroup.us directly after.)* This field is required.

YESNO