New User - Hardware & Application Access Request Form

New User - Hardware & Application Access Request Form

By submitting this form you acknowledge that you have authority to order equipment.
Individual User Account (Example: John Smith)Project User Account (Example: projectclinician@aspenmedical.com)
Project Manager Name

First NameLast Name
Project Manager Email
example@example.com
Project Manager Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Project Name
Desired Email
Example: projectclinician@aspenmedical.com
Please note that you might not get your requested account name.

This will be dependent on conflicts with existing accounts.

Oracle Access Requirements

This is where access is granted based on the user's position.
YesNo
Default Access Only (HCM, Expenses)Additional Access Required
Enter Role and Data Access required if known
For Example: Finance employees need additional access to other non-finance employees

Email Account Requirements
Aspen Medical (Australia)Project IndependencePeak RecruitmentAspen Medical PNGAspen Aged HealthcareAspen Medical USARural LAPOther
Please select required Distribution Groups for access (select ALL appropriate)
Other Distribution Group
Enter name of distribution group if not listed above
Please select required Shared Mailboxes (select ALL appropriate)
Other Shared Mailbox
Enter name of shared mailbox if not listed above

Additional Information
Enter Additional Comments Here
Please review your answer for Personal Email under User Details.

Personal email needs to be that of the employee and can not be the same as the requester email. This is for log in details and user set up on the system.

AMITF01

V3.4 Jul22

Reviewed By:
Petri Austin

Approved By:
Sanja Marais

Hiring Manager Details