New User Form

New Employee Account Request Form

Your Information
Your Name*
First Last
It's important to know who the new user request has come from:
Your Email Address*

Helpful for being able to reply to you if we need to follow up on anything.
Your Company Name*

Please enter your company name in full
Employees Information
Employees Name*
First Middle Last
We ask for the middle name in case we run into duplicate accounts, in which the middle initial will be used.
Preferred Email Address

If you have a preferred email address in mind, please write this below (not required as we will use your IT standard if left blank
Allocated Desktop/Laptop

Which computer will this employee be using? If you need us to acquire a new computer for this employee, please put NEW in the field and we will reach out for more information.
Employee Department

Please enter the Department where the new employee will be working - if applicable. This will help us determine what they will need access to.
Managers Name
First Last
Please enter the Manager's Name of the new employee - if applicable
Additional Notes
Please use this section to add any additional information you feel might be helpful. For example, any drive mappings they may need in addition to the defaults.
Start Date*
MM slash DD slash YYYY

Please enter the start date for the new user.
Name
This field is for validation purposes and should be left unchanged.