Change Request Requester InformationYour Name* First Last Company* .Email Address* Phone*What type of change? If you have more than one change request, please submit each as a separate request.Please select one* New Employee Employee Departure Employee Name Change Employee Equipment Upgrade Company Name Change Additional Office Location Office Move Emergency Contact Change Change DetailsEmergency Contact Name* First Last Emergency/After-Hours Contact Number*New Company Name* New Office Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Old Office Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code First Available Date*This is the date your new office space will be available for move-in preparation. MM slash DD slash YYYY Planned Move-in Date*This is the date you plan on moving in to the new office and beginning operations. MM slash DD slash YYYY Old Name* First Last New Name* First Last Employee Name* First Last Would you like their information/email transferred to another employee?* Yes No Transfer-To Employee Name* First Last Would you like to archive/save their information/email?* Yes No What equipment will the employee use?* We need to purchase new equipment We will re-purpose existing equipment Which office will the employee report to?* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code What is the name of the computer they will use?* What is the name of their current computer?* What type of workload will the employee perform?* Basic user (internet browsing) Standard user (documents, email, applications) Power user (multi-tasking, reporting, admin) Design user (CAD, Adobe CS, Engineering) What type of computer does the employee need?* Desktop Laptop Will the employee require a separate keyboard/mouse?* Yes, wired Yes, wireless No Will the employee require a docking station?* Yes No Do you also need to purchase a monitor?* Yes, a single monitor Yes, dual monitors No, we will re-purpose an existing monitor Please provide the make and model of the monitor(s) you wish to use*Computers today use a new standard for video connection that most older monitors don't support. With the information you provide below, we can confirm if your existing monitor is compatible. Do you also need to purchase a phone?*Only applicable if you are subscribed to our BuzzPhone™ solution. Yes No Special RequirementsWhat standard software will the employee need installed?Select all that apply Microsoft Office Microsoft Access Adobe Acrobat (free Adobe Reader included by default) Adobe Creative Cloud Intuit QuickBooks Sage Desired Default PasswordIf you would like to request a specific default password for the new employee, please provide it here. Otherwise, Digital Boardwalk will generate one for you. What company-specific software will the employee need installed? Desired Default PINIf you would like to request a specific default PIN for the new employee, please provide it here. Otherwise, Digital Boardwalk will generate one for you. Does the employee need to be a member of any specific email or security groups? Additional Notes or CommentsUse this section to provide any additional details or special requestsPhoneThis field is for validation purposes and should be left unchanged. Δ
