Contractor IT Request

Contractor IT Request
Please fill out the form below for our IT department. All contractors will receive a Microsoft Cloud PC and be required and locked to this device for data security. If this does not work please work with IT for accommodations.
New Hire: Full Name*

First NameLast Name
File Upload for Contractor Access Agreement (we will need a contractor access form uploaded and an NDA signed before we proceed with access. (This is not the employee contract)*

Cancelof
New Hire: Start Date*

MonthDayYear
Date
New Hire: Job Title*
New Hire: Department *
Field OperatorsOffice AdminAccountingExecutive/ManagementHRITMarketingHIPAA Compliance * If employee will encounter EPHI or PHI*
New Hire: Location*
New Hire: Reporting Manager*

First NameLast Name
Reporting Manager's Email*
example@example.com
YesNo (if you select this option, Please give as much detail as possible on Groups and Access needed)
If yes, please provide full name of previous/ current user? (if this does not apply to you, please write "N/A")*
Explanation: New user will get the same groups and accesses as previous user.
Email Setup
Email domain*
What shared mailboxes does the new hire require access to? (if this does not apply to you, please write "N/A")*
Example: Accounts Payable, Maintenance, Retail Accounting, etc.
What Microsoft Teams channels do they required access to? (if this does not apply to you, please write "N/A")*
Example: Retail Development, Sales & Marketing, Security, Shipping, WeGrowBC Ltd., etc.
Office 365 (Email/ Teams/ Office Suite (Excel, Word, PowerPoint, Outlook)Adobe Acrobat ProPower BISageFloQastOther
Additional Applications
Please list any additional applications required for this user. (if this does not apply to you, please write "N/A").*
Examples: Cova, Quickbooks, etc.
Manager's Signature*
Thank you for taking the time to fill out this form. Our IT department will be in contact with you if there are any issues with the information above.
Should be Empty:

Contractor IT Request

Please fill out the form below for our IT department. All contractors will receive a Microsoft Cloud PC and be required and locked to this device for data security. If this does not work please work with IT for accommodations.

Email Setup

Additional Applications

Thank you for taking the time to fill out this form. Our IT department will be in contact with you if there are any issues with the information above.