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Account and Computing Request Form

If you are interested in obtaining or changing any of the following items for an employee please take time to read, complete, and submit this form.
  • Access to the Datatel System
  • Access to voicemail (Unity System)
  • Access to the NIC domain (network)
  • Access to Campus E-mail

Employee Information

This request is for:

Please indicate the employee's start date (not the hire date)
(mm/dd/yy):
  

Authorized person making the request is:                     (required)

Person for Whom the Account Request is Being Made:
 

First Name:
Middle Initial
  (required)
Last Name
Department
Phone Extension
Office Location
Preferred Name:
Site location (on campus or other)
Job Title
  (required)

Is this person replacing an NIC employee?
Yes   No

Remove old employee voicemail account?
**Please contact Human Resources for the removal of all other network accounts, including e-mail.
Yes   No

Name of exiting employee (include exact employee end date) :


Choose Accounts

Click the check box beside the account being requested or changed.
Please leave blank if uncertain. You may choose more than one.
Click here for further information if the account you need is not listed below.
 
NIC Domain (local area network) Web Authoring
E-mail (Outlook) Please include web folder path here:
Datatel eg: http://www.nic.edu/...
 


E-mail

E-Mail account name preference: 

NOTE: Your default e-mail address will be firstname_lastname@nic.edu If you prefer to be called by a nickname, please show that preference here (eg: eddie_simon@nic.edu versus edward_simon@nic.edu).


Voicemail Account and Phone

Please select the appropriate phone information for the employee. If you don't know or it doesn't apply, please leave the selection empty.

Assume existing extension and phone
 
Existing #:    

Require UNITY Voicemail: Yes   No


Is phone being shared with others?   
Yes     No

If yes to shared phone, add user to
the auto-attendant list?     
Yes     No
 
Require new extension and phone

Require UNITY Voicemail: Yes   No

Require Long Distance: Yes   No

Budget number for long distance
(11 digits, include hyphenation):    


Type of phone:
Cisco IP 7941 Series Cisco IP 7961 Series

Computing
This portion of the form pertains to the employee's computing needs.

Which computer will the employee be using? (locate 6-digit barcode sticker labeled "AR Asset ID#" on the upper right corner of the PC tower or laptop and type in number):

Does this computer need to go to the Help Desk to be rebuilt for the new user?
Yes     No


Comments

Please include in the comment field below any additional, pertinent information about your employee's needs:

Click the Submit button when you are finished. Thank you.

Please contact the IT Help Desk at x3280 to set up a new employee training appointment and to receive new account login information.

If you have questions, comments or concerns regarding this form, please contact the IT Help Desk at x3280 or send e-mail to helpdesk@nic.edu.

     
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compserv@nic.edu  | (208) 769-3230