Review - New Hire, Status Change, and Separation - Metro Detroit

URGENT

Yes

Select a Choice*

New Hire
Status Change
Separation Form

Request For New User Network Account

Make your request here

Account Activation Date:

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):

Printer(s)

Email Distribution:

Network Account Termination Form

HR Section

Date Account to be Suspended / Deleted:

Time Account to be Suspended / Deleted:

:
HH

MM

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 help@pcmiracles.com so we have documentation it came from an authorized user. THIS REQUEST WILL NOT BE COMPLETED UNLESS YOU FORWARD to help@pcmiracles.com

Email

This field is for validation purposes and should be left unchanged.

PC Miracles, Inc.