Review - New Hire, Status Change, and Separation URGENT Yes Select a Choice* New Hire Status Change Separation Form Request For New User Network Account Make your request here Account Activation Date: Date Format: MM slash DD slash YYYY Authorized By (First and Last Name): First Last Authorized By (Email Address): We will send you an email confirmation which we need you to forwarded into a ticket so we know it came from an authorized user. Employee Section: General Information Full Employee Name:* First Last Work Station ID/Office Location: Office Phone Number: Extension: Cellular Phone Number: (if applicable) Employee Title: Employee Company: Department Assigned: Manager/Supervisor's Name: First Employee Section: Computer Resources Issue Computer: Yes current workstation Yes ordering new workstation from PC Miracles No If yes, what computer name: Desktop / Laptop Desktop Laptop Employee Section: Network Resources Email Account: Yes No If "Yes" Please enter email address here Company department if you provide this the following in Network Resources shouldn't be needed. The company department will be used to determine this users security permissions. Special Notes Network Drive(s): E: F: G: H: I: J: K: L: M: N: O: P: Q: R: S: T: U: V: W: X: Y: Z: Printer(s) Email Distribution: Network Account Termination Form HR Section Date Account to be Suspended / Deleted: Date Format: MM slash DD slash YYYY Time Account to be Suspended / Deleted: : HH MM AMPM Employee Section: Profile Information Forward Email? Yes Forward email of the old user to which email address. PC Miracles will change the Active Directory Account password for the old user and we will call you with the new password. Yes Special Notes: This User change will make the following impact to my IT support agreement.* Replacing a past team member. So there will be no change in our User count. (If this is true I will list the name below) This is a seperation form and we are replacing the team member with a new team member. So there will be no change to our User count. This is an addtion and we will be increasing our User count by 1. And are aware that this will increase our monthly billing from PC Miracles. This is a reduction in our User count. Which will lower our bill if we have addtional users on our current billing above our base agreement. Past team member name list here if applies to previous question. SECURITY REMINDER - We will send you an email confirmation of everything you have submitted. Once received please forward to firstname.lastname@example.org so we have documentation it came from an authorized user. THIS REQUEST WILL NOT BE COMPLETED UNLESS YOU FORWARD to email@example.com Comments This field is for validation purposes and should be left unchanged.