IT Transfer Request

Employee IT Transfer Request Form

Requestor Information*

First Name

Last Name

Requestor Title*

Requestor Email*

Employee Information

Employee Name*

First Name

Last Name

Employee Title*

Employee CWID*

*Please contact HR to find out an employee's CWID Number

Status*

Date/Time*

Department Transfer From*

Building/Room Number

Location*

Phone*

Department Transfer To*

Building/Room Number

Location*

Manager's Name*

IT Access Realignment

Termination of current access right: The current access rights to Banner, Xtender, Eprint, Argos, and Network Drives will be removed effective the date of the transfer/promotion. The employee's access to the Mercy University network (Mercy Domain), Mercy Connect and Exchange Email will remain intact

Change/Lock Voicemail Password

Yes No

Provide Password to:

Collect Basic Cell Phone/ Smartphone

Yes No

From Where

Collect Laptop

Yes No

From Where

IT Transfer Request

Employee Information

IT Access Realignment

Assignment of New Access Rights

Equipment Issue