New Support Request - USM Technology

What Type of Support Do You Require?*
Standard Support Request

Please enter the required information below to complete your Support Request. Standard Support requests occur during the hours of 7am-6pm, Monday - Friday.
After Hours Support Request

Submit an *After Hours support request ONLY if you require same-day support on weekends, or on weekdays prior to 7am and after 6pm.
*Please be aware that additional fees may apply for after hours support requests.
*If your request can wait until standard support hours, please submit a
Standard Support Request
Emergency Support Request

Please enter the required information below to complete your Support Request.
Name*

First NameLast Name
Email*
example@example.com
Company
Phone Number*
Are You Submitting This Request On Behalf of Another Person?

Yes
Submitted on Behalf Of

First NameLast Name
Submitted on Behalf Of Email
example@example.com
Availability
Priority
Issue Category*
Issue Title*
Issue Description*
New Hire Details

Please provide the details below for your New Hire
User Offboarding Details

Please provide the details below for offboarded user
Employee Full Name

First NameLast Name
Employee Start Date

MonthDayYear
Start Date
Desired PC Account Name
Ex) jdoe
Desired Email Address
Ex) j.doe@yourdomain.com
Job Title
Manager Name
Shipping Address
Personal Email
example@example.com
Personal Phone
Line of Business Apps
App Access

CMBHSTMHPPrizmixPigeonZoom
CMBHS Details
Employee to Mirror
Clinical Certification Type
Certification Start Date

MonthDayYear
Certification End Date

MonthDayYear
The User should be a member of the following Office 365/Distribution Groups
Office 365 / Distribution Groups
List Each Group Name Separated by commas ','
The User should be a member of the following Active Directory Security Groups
How would you like to identify the Security Groups?

List Security GroupsName a Specific User to Replicate
Name of User to Replicate
Security Groups
List Each Group Name Separated by commas ','
The User should have access to the following shared mailboxes
Shared Mailboxes
List Each Shared Mailbox Separated by commas ','
Who should have access to this user's mailbox/OneDrive?
Mailbox/OneDrive Access
List Each User Separated by commas ','
Employee Access Should be Terminated On
Date

MonthDayYear
DateHourMinutesAM/PM Option
The User will be assigned the following computer
The User was assigned the following computer
Computer Name
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Standard Support Request

After Hours Support Request

Emergency Support Request

New Hire Details

User Offboarding Details

Line of Business Apps

CMBHS Details

The User should be a member of the following Office 365/Distribution Groups

The User should be a member of the following Active Directory Security Groups

The User should have access to the following shared mailboxes

Who should have access to this user's mailbox/OneDrive?

Employee Access Should be Terminated On

The User will be assigned the following computer

The User was assigned the following computer