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MCJ New User Setup Request Form
Modern, Affordable, Efficient and Scalable IT.
Once you submit the request we will immediately start work on configuring new user! Thanks!
New Employee Information
First Name
Last Name
Title
Department
Office/Direct Phone Number
Cellular Phone Number
Manager
Start Date:
Computer Setup Information
Assigned Computer
New Computer
Existing/Repurposed
Serial Number
Computer Name
Email Address Needed?
Yes
No
Preferred Email Address
Is this new user replacing an EX MCJ employee who's login should be disabled?
Yes
No
User account that should be disabled
Hardware Needed
Laptop
Printer
Scanner
Docking Station
Other
Other Additional Hardware
Requesting Admin Rep
Your Name
*
Your Email
*
Subject
*
Position
Submit