User Information Change Request Form

Name

First NameLast Name

Company*

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.

Email

example@example.com

Managers Contact number

Please enter a valid phone number.

I would like to -

Apply for a new accountExtend my existing account

For the following domain - *

Sasolcorp (sasol.com)SasolSCD (scd.sasol.com)

I would like to -

Reset passwords and unlock accountsAdd computer and user objects to the domainModify user detailsHave local administrator rights on the machines

Other

Please specify your region -

Do you require Domain administrator rights?

YesNo

Do you require read access to Active Directory

YesNo

I require the following -

Modify Group PoliciesConfigure and Modify DNSConfigure and Modify DHCPAbility to move computer and user accounts

Other

Additional Groups

Do you require SCCM Administrator rights

YesNo

I require the following access -

Collections [Read, Modify, Use remote tools, Modify Resource, Read ResourceAdvertisements [ Read] ; Packages [Read] ; Collections [Read, Use remote tools]Permission to create and Advertise packages and Collections in SCCMAccess to deploy software updates to workstations

Other

Do you require Omada Administrator rights

YesNo

Do you require Omada AD Administrator rights

YesNo

Please select what permissions you require

Omada BackofficeOmada Workspace

Do you require SCOM administrator rights

YesNo

Do you require SCOM operator console access

YesNoRead only access

Do you require SCOM web console access

YesNoRead only access

Please specify if the above access is required for a specific project?

Project Release Date

MonthDayYear

User Information Change Request Form

End User Management

Active Directory Support

SCCM Support

FIM/Omada Support

SCOM Support

Project specifics