New User Creation Request

Employee Start Date *

Requestor Name *

Requestor Email *

Requestor Phone

New User Full Name *

Requested Username

Requested Email

Employee Location

Existing User to Copy

Office License Required
NoEmail OnlyApps OnlyEmail & Apps

Allow access to the following drives

Add user to these email distribution groups

Access to these specific applications

Office Extension Number

Desktop (Softphone) Extension Number

Desktop Operating System
WindowsMac

Mobile Extension Number

Additional Notes / Requests