New User Account Creation Form

If you are human, leave this field blank.

Company Name *

New User's First Name *

New User's Last Name *

New User's Title

New User's Department

Supervisor

Enter the first and last name of the person to whom the new user will be reporting (i.e. their boss)

Work Start Date *

When the new employee will need their system to be available

What PC hardware will be needed for this user?

We are re-using existing workstation hardware

User will be set up on new hardware that has already been ordered

We need to order new hardware for this user

Which existing workstation would you like to re-use?

Please enter the invoice and/or quote number of the new workstation order

Level of Access

Please describe the level of access the new user needs, what files, folders, apps and/or drives should be available, what should be restricted, etc.

Additional Notes/Concerns

File Upload (optional)

Drop a file here or click to upload Choose File

Maximum upload size: 10MB

AUTHORIZATION *

By checking this box and entering your full name and email address below, you agree that you are an officer of your company or other authorized individual and you hereby authorize RED74 to create the account indicated above.

Name *

Email Address *

Callback Number

The best number to reach you (optional)

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