Service Request
A service request is a non urgent request for information, advice, a modification, addition or pre-approved change that is low risk, relatively common and follows a procedure.
Project
First Name
*
Last Name
*
Name
*
First Name
Last Name
E-mail
*
firstname.surname@birminghamhospice.org.uk
Phone Number:
*
Please enter a valid phone number - include area code.
Format: 000 0000 0000.
Which department do you belong to?
Example: IPU, H&H, PHB, People Team
Which Department are you located at?
*
Please Select
ANP
CHATS
CNS
Catering
Community Nurse Specialist Team
Data
Doctors
Education
Executive Team
Facilities
Finance
Front of House
Fundraising
Governance
Hospice at Home
Housekeeping
IPU
Living Well Centre
Marketing
People Team
Pharmacy
Retail Management Team
Social Team (PHB)
SPURS
Therapies
Welbeing
1st Line of your address:
House/ Apt Number and Street Name
City:
Which City is this?
Post Code:
Whats the postcode
What type of request do you want?:
*
Information Or Advice
Installation
Move Add or Change
Training & Support
Category
And what service or product would the request apply to :
*
Application (Install)
Change personal details (Job Title, Work Hours, Display Name)
Email - Access to additonal inbox
Email - Request new email account
Equipment Move
Meeting Room Equipment
Sharepoint (Permissions)
Teams - Number
Teams - Channel
Training
Does your request apply to:
An individual
A Department
Risk rate your request:
No risk to Hospice reputation, doesn’t contravene any legal obligations and will not result in financial loss to the company.
Moderate risk to Hospice reputation, doesn’t contravene any legal obligations or may result in some low financial loss to the company.
Likely to cause reputational harm, contravenes our legal obligations, or highly likely to cause large financial loss to the company
Main Issue
Provide further details:
*
Where will you be located for support
*
Please Select
Erdington Hospice
Selly Park Hospice
Please note we dont offer remote support and have to come on site to fix issues.
You will receive an email requesting you to select your availability based on the location selected above.
Please look out for this email:
Erdington
*
Selly Park
*
Service Level Agreement
Suggested Datetime Erdington
Suggested Datetime Selly Park
Submit
Should be Empty: