I.T. Support Form
Purchase Request Form
New Hire Form
Termination Form
Type of Support Request (Select Only One)
I.T. Support
Purchase Request
New Hire Request
Termination Request
Impact
1 Person Inconvenienced
1 Person Cannot Work
Many People Inconvenienced
Many People Cannot Work
Category
Computer
DMS
Email
Internet
Monitor
Printer
Website
Other
Your Email Address
Your Contact Phone
Hiring Manager's Email Address
Full Name
New Employee Name
Terminated Employee Name
Dealership
Department
Position
Please specify what is requested:
Desktop PC
Laser Printer
MS Office
Laptop
Inkjet Printer
Monitor
Mouse
Memory
Additional Monitor
Special Software (List Below)
Special Hardware (List Below)
Other (List Below)
(If quantity is greater than 1, please specify quantity in details below.)
How many monitors will be connected to the new pc?
1
2
3
4
5
6
Will special printers be connected? (ie. Finance)
No
Yes, Hand-Feed Forms (Finance)
Yes, Continuous Form (Report Printer)
Does your new Desktop PC require a wireless mouse and keyboard? (When your pc is not setup near your monitor)
No
Yes
Monitor Extension Cable? (Will your monitor be more than 4 feet from your pc?)
No
10 feet away
15 feet away
25 feet away
Will you need a Extended USB Hub?
No
Yes
Does your printer need to print in color?
No
Yes
Does your printer need to print duplex? (2 sided)
No
Yes
How does your printer connect?
USB - Direct to PC
Network - Available to many pc's.
Wireless - available without cables.
Details of Request:
Asset Code
Name of Person that was at your desk.
Extension
Microsoft Office Needed?
Will you need DMS access?
Yes
No
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If you would like terminated employee's email forwarded, enter address below
DMS Functions
Special Instructions
Start Date
Termination Date
Supervisor Email
General Manager Email