Westminster Eyecare New User Form - IT Support RI - Computer Support, IT Consulting, Network Services

New User

Please fill this out for any new users and/or new email account for someone. Please do not send any sensitive data through this form.

Date needed by:*

Please allow up to 48 hours for new user creation.

Requester's Name (You)*

(First, Last)

Your Business Email*

Title*

New User Information

Please fill in for the new user's info to be setup.

New User's Name*

(First, Last)

User's Mobile Number

For Contact and Two-Factor Authentication Security Setup

User's Personal Email

For Contact

Preferred User Name: (first initial+last name)*

ie: [email protected]

PC Asset Tag If Known

(5 Digit Code Sticker on PC. If new system is needed, put "None - New PC Needed")

Location*

Westminster Eyecare Associates
College Hill Eye & Optical
Mandalay Optical
Uppercut Consulting
Smithfield Eye & Optical
Envisions Eye Care

User Info - Email and Software

Teams Address (firstinitial+lastname)@*

wecareri.com
collegehilleye.com
mandalayoptical.com
uppercutconsulting.com

Alias Emails:*

wecareri.com
collegehilleye.com
mandalayoptical.com
uppercutconsulting.com
drscottcolonna.com
None

Email License: (if none add to shared mailbox)*

365 Basic
365 Premium
None (most common unless Manager or above)

If "none" is selected, Teams Exploratory, Dynamics 365 Talent, and Power Automate will be added.

Add to Groups:*

Administration (VP and Above + Exec Assistants)
Eyepedia
All Staff (everyone)
Uppercut Team
College Hill Staff Group (+ Shared Mailbox: [email protected])
Smithfield Staff Group (+ Shared Mailbox: [email protected])
Westminster Staff Group (+ Shared Mailbox: [email protected])

All users will be added to the following groups by default: Equipment & Building Repairs, EyeLove Fun, Eyepedia "Staff Access" Sharepoint Group

Software access needed*

OfficeMate - ADMIN USER (supervisor and above)
OfficeMate - STANDARD USER (below supervisor)
VPN (if working from home laptop)
RDS

Printers Needed*

All Westminster
All College Hill
All Mandalay
All Uppercut
All Envisions
All Printers for ALL locations

Additional Info

Any additional info that will help us create and setup your new user to your specifications. If none state n/a

User Info - New System Required

Please fill in if you require a new computer for this user. If so, a quote will be sent to you for approval before we can continue. We may reach out to you for additional details for a more accurate/customized quote.

Order Computer: select all that apply*

None - Will be using an existing PC at the office
None - Will be using an existing iPad at the office
Desktop (single monitor)
Desktop (dual monitor)
Laptop
iPad

Purchase approved by:*

[email protected]

Does this user require any of the following?*

Please select all that apply.

Small/Compact Form (Desktops Only)
Laptop Docking Station
Graphics Card (for Photo/Video editing, CAD, etc..)
Wireless Keyboard and Mouse
Headset with Microphone
Webcam
Other (see below)

Other Notes:

Any additional info here that will help us in getting you the proper items quoted for your new user. Include screen sizes, printer types, and any extra info that you may have.

Phone

If this new user will have their own personal desk phone complete the following.

Assign a current extension: (supervisor and above)

ex: 23

Phone Equipment Needed:

Yealink T46U Phone
Headset with Microphone

Ring Cell Phone Simultaneously?*

YES
NO
N/A

Email when Voicemail received?*

YES
NO
N/A

Create Email Signature from CodeTwo Template?*

YES
NO
N/A

Any other information needed to complete or add this new user:

Consent

I agree that the above information is true and accurate

Please verify that you are human