Employee Account Change Request
  • All requests must be submitted by the employee's supervisor.
  • Self-submissions are not accepted.
  • All requests will be processed no sooner than 10 business days from the receipt of the request.
  • Please verify spelling of names, as this data is directly imported to create user accounts.
  • Please verify personal preference in first name usage (i.e., "Bill" instead of "William")
Employee Information (All fields are required)
First Name (Please verify spelling)

 Last Name (Please verify spelling)

 
Change Type

 

 Effiective Date of Change

  (mm/dd/yy)
 Position Information (please fill out)
Department/Workgroup

 Employee Type

 
Office Location (Room and Building, i.e., 200A)
 		 Title

 
Extension
  
Account Needs (not applicable for Terminations)
Name Change (Please enter new name)

First Name (Please verify spelling)

Last Name (Please verify spelling)
Shared Drive Access
Specify the shared network drive(s) that need to be added or removed (For example: "nursing$ on calkins") 		The following drive(s) need to be
 Added        Removed
Distribution List

Choose the distribution list(s) that need to be added or removed.  To select multiple lists, hold the 'Ctrl' key and click the desired distribution lists.

 The following distribution list(s) need to be
 Added           Removed
Telephone/Extension/Voicemail Requirements
 Voicemail needs to be
 Created       Removed
Supervisor (All fields are required)
Supervisor's Name

 Supervisor's E-Mail

@qcc.mass.edu
Supervisor's Extension

 

  
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