New User Request (Allocortech) Contact nameNew user first name(Required)New user last name(Required)User start date(Required)IF DATE NEEDED IS LESS THAN 4 WEEKS AWAY, PLEASE CONTACT YOUR ACCOUNT MANAGER after submitting this form. If you are submitting a new user set up only, please allow 3-5 days for scheduling. Date account neededIf different from user start date Best contact number for userIf user hasn’t started, please contact Melanie at 434-207-2821Additional user contact numberUser's department type(Required)This will be used to determine what applications the new user needs General/Admin Production Software Engineer Mechanical/Electrical Engineer C-Suite (MacBook) C-Suite (Dell) Do you want email set up on workstation or cell phone? Workstation Cell phone All of the above None of the above Are there any e-mail distribution (CC) groups or share inbox folders the new user needs to access to?Is this user taking over an existing user’s account? Yes No Who are they taking over for?We can give the new user access to the email box of the previous user if they are no longer with you.Are they inheriting the previous user's permissions? Yes No Would you like the new user to inherit the old user's data stored on their local workstation and server profile?The new user would have access to what was saved on the server by the previous user and what was on their workstation. Yes No What workstation will this user be using?(Required) Existing – Already under E-N management (tools installed but needs user setup) New – E-N Provided Existing computer descriptionPlease provide the computer name, service tag, and/or model of the computer to be used for this request, and its current location.What should be done with the existing computer? Wipe and set up fresh Nothing – Keep existing programs and data When would you like the existing computer to be prepared? Next onsite visit (1 computer per visit) ASAP (hourly rate applies) Warranty One year (included with new models) Three year (extra fee) Five year (extra fee) Accidental damage rider, must have the three year (extra fee) Warranty option selected. (extra fee) Yes No What would you like the workstation to be called?Example: LT-Sales1-Main where LT (laptop)- Sales 1 (Department and number in the department)- Main (location)When would you like the new workstation set up?(Required)If this work is to be done at an onsite and cannot be completed within the four hours of your onsite time because complications arise or you’ve requested other tickets be done at the onsite which limit the configuration time, this work will then become billable if not shifted to your next onsite day. Next available onsite visit (1 computer per onsite) ASAP – Labor charges apply (up to 4 hours per computer @ $150/hr) ASAP shipped – labor/shipping charges apply (up to 4 hours plus shipping) Other – Labor/shipping charged, please specify date/time requested Other Where should the workstation be shipped to?(Required) Company main office, additional charges may apply if not local User’s home or other location, additional charges may apply if not local To ENC for configuration first, then to company main office, additional charges may apply if not local To ENC for configuration first, then to user’s home or other location, additional charges may apply if not local New user's direct phone number(Required)New User's personal email for tracking purposes(Required)Ship to name(Required)Shipping address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Is this a new role?If this user has a new role in your organization, please list file shares and applications you’d like the new user to accessIs there an existing or peer user you’d like us to mirror file share and security from to this new user?Please give the first and last name of the user that is being replaced. All licensing will be removed from the previous user and assigned to the new userOther license(s)Please list the license(s) requested for the userDoes the user need to remote access your in-office system?Choose the preference for remote work or choose no if no option is desired. VPN to server Remote into office desktop (this does not work for laptop-only users) No, web only Primary office locationChoose all that apply Waynesboro Crozet Remote only What printers do you want the user to have access to?Are there any networked scanners, security cameras, or other speciality hardware the user will need access to?List any special equipment that the user needs access to.Any additional information you would like to addConsent box for tech assistanceDo you want a prompt asking for consent before a technician accesses your machine? Yes No
