Instructions: Complete Section I. Laptop Provisioning upon decision to set up a new device for an employee.

Laptop provisioning requests are processed between 8AM and 5PM PT Monday – Friday. Send completed and signed form to IT at least 14 days prior to the start date. Note: Only authorized Phase Scientific staff can submit new laptop provisioning forms or contact the Service Desk. Please reach out to Matthew Dowsett at Matthew.Dowsett@phasesci.com – should you have any questions.

Fill out and print all pages of the form. Give completed and signed form to IT at least 14 business days prior to provision and start date. Send form to sr@centrexit.com with the subject “New Laptop Provisioning Request.” The PDF copy shall be stored in the designated folder on the network drive. Hardcopies shall be stored in the User’s HR file.

Section I. New Laptop Setup

Requested By:

Date:

User Information

Domain Username:

Domain Password:

Email:

Dept. Mngr. Approval

Name:

Signature:

Date:

Location

Please Specify:

☐ Remote/Other (specify):

Software

☐ Office 365

☐ One Drive

☐ Chrome

☐ Fishbowl

☐ Adobe

☐ WhatsApp

☐ WeChat

☐ Zoom

☐ Cisco AnyConnect

Drive Access

☐ Join PC to phasesci.com domain

Local Admin

☐ Yes

☐ No