XZERES IT Requisition Form

Please complete all fields.

Failure to do so will result in a delay in your IT Ticket.

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Requestor's Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Type of Change {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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New or Temporary Employee

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New Employee Information

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Access Required

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Hardware Requests

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Account Creation and Modification Details

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Physical Location Details

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Delete/Change

Employee Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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XZERES IT Requisition Form

Your progress has been saved.

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The email has been sent.

XZERES IT Requisition Form

Please complete all fields.

Failure to do so will result in a delay in your IT Ticket.

Today's Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Requestor's Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Requestor's E-Mail {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Type of Change {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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New or Temporary Employee

Office Space Currently Occupied? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Office Location {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Current Occupant: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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New Employee Information

Employee Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Start Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Department {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Job Title {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Direct Supervisor {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Is this new hire replacing someone? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Please Provide name: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Access Required

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Hardware Requests

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If necessary describe any special requests {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Account Creation and Modification Details

Model this AD Account after this person: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Physical Location Details

Please indicate the office or cubile location of the Employee's new workspace. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Enter any additional notes or comments here {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Delete/Change

Employee Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Describe the IT request here: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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