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New User Request Form First Name: Last Name: Department/Division: Office Location: Employee Number: Job Title: Phone Extension: Start Date: Manager Name: Microsoft Office License: G3 (Full Office) Plan 1 (Just Email) No License Equipment to be used: New Equipment Existing Equipment Additional Software & Permissions: Please describe permissions and software needs Is the new employee replacing a current employee: Yes No Supervisor Name: Phone Number: Supervisor Signature: Date: Public Services\Water Utility Airport New Equipment Request SIGN Print Form Submit Form Reset Form