Transcription of Henry County Board of Commissioners
1 AddDeleteChangeDisableTransferred to Different DepartmentHenry County Board of Commissioners Technology Services Department Network, Computer, & Telephone Access Request Form Today's Date: Requested Start Date First Name: Last Name:Empl Nbr: Department: Position Title: Fax form: (770) 954-2922 Help Desk: (770) 288-6848iSeries [AS/400] AccountNetwork Account *Change User InformationEmail AccountVPN Account ** Purchasing Inquire Only **Purchasing Requisition Entry **Approval LevelPayroll Inquire Only **Payroll Entry **Previous User NameUser NameDepartmentMI** A VPN account gives the user the ability to access our network from outside of our firewall/domain. This requires Division Level ApprovalPrevious DepartmentRequested End DateAll other software controls are maintained by the department of as one number without spaces or characters: 100121212312120If you have more than one range of accounts, please enter them in the description field below.
2 ** This requires Finance Level ApprovalGMBA AP Entry ** A network account is needed if the user will be logging on to a PC or our - List Cabinets Department Folder Access from Previous DepartmentAdd Department Folder Access for New DepartmentTo Account #:From Account #:Telephone SetupVoice Mail - Dept Head approval neededPickup Group - usually department namePhone Number: Enter as 7702889999 Description: If you are requesting a new account or a change to an existing account, you may provide a name of another user who has the same abilities, access, etc. that the new or changed user will need. Or enter the access being requested. Be as descriptive as Head Approval Required for Setup (or assigned designate)Person who is requesting this change or setupPrint Requestors Name SignatureFinance Department Approval Required for Finance Software Setup (or assigned designate)Division Director Approval Required for VPN Setup (or assigned designate)An assigned designate must be on file (e-mail or written) with Technology Department Head SignaturePrint Finance Approval SignaturePrint Division Director SignatureTicket NumberUser NameiSeries AdminNetwork AdminTS TechPhone AdminInitial Date CompletedThe users email address will be their password of newuser1 is always provided.
3 For Technology Services use back to Requesting Department .For GMBA and Purchasing Enter Account Range For Payroll Enter Departments Security DeviceType? (Android, ) SignaturePrint CM ApprovalCounty Managers Approval for NON Exempt Mobile DeviceEmployee StatusExemptNON Exempt
