New User Creation Needed Details Form

New User Creation Needed Details Form
Person making the request: *

First Name Last Name
Requester email: (you will get a copy for your internal records) *
example@example.com
Your Company Name: *
Please complete to the best of your ability so that JSC can properly add to Office 365 and other IT tools.
Expect completion time of at least ONE business day from receipt of this request for completion of base tasks to prepare systems and licensing for new staff adds.

If hardware is needed and JSC does not already have equipment on hand expect at least Two Weeks from approval and payment of hardware / setup costs.
New Person's First Name *
New Person's Last Name *
E-mail / Username *
Mobile Phone (we cannot support this user until we have a phone number that we can use for security verification)

Area Code Phone Number
Job Title *
Department / Organizational Unit
e.g. Executives, Management, Accounting, Production
New Employee Estimated Start Date *

Month Day Year
If unknown, please pick your best estimate
Does this user need to be added to any distribution lists?
Please list the distribution lists or "groups" this new user needs to be added to.
Is this person replacing a staff member that has left the company? *

Yes No
If the above was answered "Yes" who will the new user be replacing?
Are you using a Phone System managed by JSC? *

Yes No
Will this new user require a Direct Dial Number?

Yes No
What phone will they use?

An existing phone will be re-purposed for this user. JSC will need to order a new phone for this user. We will provide a new phone for this user.
Will you purchase a new computer? If not, what computer will the new employee be using? *

Use an Existing Machine Yes No, they will not need a computer

New Workstation
Choose requested workstation type:

Desktop Laptop
Please Choose Operating System Type:
Number of Monitors (If Laptop selected add plus 1 to each option)

Single Monitor 1 Dual Monitors 2 Triple Monitors 3 Quad Monitors 4 Penta Monitors 5 Hexa Monitors 6 > 7 Monitors (I'm a one-person Air Traffic Controller)
Monitor Size
e.g. 23" 32"
Please list the applications that this user will need to be able to use: *
e.g. Quickbooks Pro 2012-16, AutoCad, WordPerfect x6

Collapse Stopper

Re-Purpose Existing Machine
Name of Exiting Employee

First Name Last Name
Existing Computer Name
Last Day this Employee will be using the asset to be re-purposed

Month Day Year
Will a Wipe/Reload be needed before the new user takes over this asset?

Yes No Not Sure
Will the new user need access to Exiting user's profile and files?

Yes No Not Sure

End Repurpose
Will a new printer be needed? If so, please describe the printer type:
e.g. Color Laser desk printer, or Large Format photo printer
Office Phone

Area Code Phone Number
Fax Number

Area Code Phone Number
User work address / site

Street Address

Street Address Line 2

City State

Zip Code
Please list the applications this staff member must have access to. *
Example: Quickbooks, PracticeMaster, Andar, BlueBeam
Does this person need access to a Password Manager Application? (Please Name the tool. For Example, "Keeper".)
Comments or Special instructions
Should be Empty:

New User Creation Needed Details Form

Please complete to the best of your ability so that JSC can properly add to Office 365 and other IT tools.