New User's Title ^*

New User's Email Address ^*

Telephone number and extension where they can be contacted ^*

If they are replacing an existing user, who is the previous user ^*

Has the previous user left the company ^*
-- Select--YESNON/A

Can the previous user’s email be purged right away ^*
-- Select--YESNON/A

Who should be given access to the previous user’s email if applicable

Whose computer will the new user be using ^*

Does the new user require access to any other user’s email information. If so, please specify.

Please specify any security or distribution groups, to which the new user belongs or any general requirements

When can we access the computer. ^*

Other than Microsoft Office products, please specify any special applications that are required. Additionally, please specify the printer(s) that will be used. If the applications and printers are the same as for the previous user, please specify as such.