IT Setup Consent Form
Please complete this form to authorize IT setup and grant necessary permissions for your device and account.
Full Name
*
First Name
Last Name
Department or Team
*
Work Email Address
*
example@example.com
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Device Type Requested
*
Please Select
Laptop
Desktop Computer
Tablet
Mobile Phone
Other
Device Location (Office, Remote, or Other)
*
Please Select
Main Office
Remote/Home Office
Other
List any required software or applications for your role
*
Do you require access to any of the following?
*
Company Email
Shared Network Drives
VPN Access
Specialty Software
Other
Please specify any special setup instructions or additional hardware needs
Preferred Setup Date
*
-
Month
-
Day
Year
Date
Signature (Please sign to confirm your consent)
*
Submit Consent
Submit Consent
Should be Empty: