Maricopa Community Colleges

Technology Support Services

Computer Move Request Form

This form may be completed or submitted by the ITS liaison or by employee's Supervisor. All accounts must be approved by the employee's supervisor.

Employee Information

(Inaccurate information may result in delay of service)

Employee's Full Name:	(required)
Employee's Email:	@domail.maricopa.edu
Department:	(required)
Extension:

Supervisor's Information

(Supervisor Information Is Required)

Supervisor's Name:
Supervisor's Email:	(DO MEMO address)
Supervisor's Extension:

Computer Move Information

Date of Move:	(required)
MCCCD Tag Number:	(required)
Make of Equipment:	(required)
Model of Equipment:	(required)
IP Address:
Current Room Location:
Current Jack Number:
Move to Room Location:	(required)
Move to Jack Number:	(required)
Printers to be added and/or removed:

Telecommunication Services

Telephone Setup

Phone Extension:

Retain Current Extension:

New Extension

Name to appear on the display:

Building Security Services

Card Keys (Door Location, Hours of Access)

Door Keys (Room number and/or Hall access)

Please send an email to Roberto Isaac to schedule an appointment for the new employee to have photo taken for badge, issuance of badge, keys and vehicle parking permit.

Building Services

Would you like the mailroom to be notified of this addition? This will minimize any delay in forwarding mail. If there are any questions please contact CopyCenter.

Additional Notes and Comments

Is there any information or comments you would like to include with this setup?


If a copy of this form and the information entered needs to be retained. Please press the print key, located at the top of the browser window, before clicking the submit button.