Request to have a new user created Company : * Site Location : New User Name : * First New User Last Name : * Last Start Date or Date Required by : * Required Email Address : * One per line if multiple eg: yourname@domain.com.au office@domain.com.au Mail Distribution List Membership : * If you are not sure if you need this, just put "please explain" and we will contact you. Network permissions required : * The same network access as which current user? Applications required : If you are not sure of which applications are available specify the same applications as X user, or ask for a list of available applications Printer Configuration : Default printer, trays etc. Custom requirements : Payroll, banking program, program access etc. Remote access required ? * Yes No eg: can log onto office network from home Contact name : * Contact Email : * Contact Phone : Verify you are human