Requester Information
Requested By:
Email:
Title:
Date:

New Employee Setup Form

New Employee Information
First Name:
Last Name:
Start Date:
Title:
Office Location & Department:
Location within the office:
Phone:
Ext#:

Workstation(s) Required for New Employee
  1. If new employee will work at an existing workstation
    1. Workstation Hostname / IP Address:
    2. Enter name of another employee if new employee will be taking his/her place:
  2. Check here if the new employee requires a new workstation
  3. Check here if user requires a new laptop
  4. Any specific specifications requested?:
  5. Please list any new periopherals needed (scanners, speakers, etc.):

Blackberry or Phone Setup
  1. Check here if the new employee requires a Blackberry or other PDA/Phone setup.
    1. Service provider:
    2. Blackberry Phone#:
    3. Pin#:

Email Setup for New Employee
  1. Primary Email Address for new employee:
  2. Additional Email Alias(es) if required:
  3. Check here if new employee should be restricted from sending/recieving external email.

Remote Access for New Employee
  1. Check here if the new user requires remote access via SSL-VPN Virtual Office
  2. Check here if new user requires any work done at home (details to be coordinated later)

Applications Required for New Employee
  1. Please list any non-standard applications (and any special application security considerations) the new employee may require.
    (Standard applications include Adobe Acrobat Reader, MS Office, Anti-Virus, Anti-Spyware, and WinZip)

Printers Required for New Employee
  1. Please list any specific printers the new employee will print to:
    (We will assume that it is OK to setup all nearby network printers )
  2. Check here if the new user requires a new network or dedicated printer
  3. Any specific printer specifications required?

Group Membership, Security, and Other Access
  1. Check here if the new user requires access to any other employee’s mailbox? If so, which user(s)?
  2. What security or distribution group(s) should the user be a member of
    (i.e. Employees, Doctors, Nurses, Reception, Executive)
  3. What specific folders or data does the new user require access to

Employee Separation Form

Employee Information
Full Name Of Terminated Employee:
Effective Date:
Office Location & Department:
Location within Office:
Direct Phone/Extension:
Computer IP Address/Hostname:
E-Mail Address:

Confidentiality of impending employee separation

Check here if employee is NOT aware of this impending separation


Stemp will act in a discrete manner to minimize the possibility that the employee will be aware that we have limited access and login privileges. We cannot guarantee that the employee will not discover that we have taken the actions authorized below or will not otherwise be ”tipped off” to the impending separation.

Disposition of terminated employee’s workstation

 A New employee will sit at this computer (Please complete a New Employee Setup Request Form)

Name of new employee (or unknown):
Computer will be moved to another employee (Enter name)
Other:

Check here if this separation is temporary due to maternity leave, sabbatical, etc.

Disposition of terminated employee’s e-mail address
Assign e-mail address to the following employee:
Forward e-mail to the following employee(s)
Check here to not assign old email address to any employee
Other:

Disposition of terminated employee’s mailbox

 Add access to this mailbox to the following employee(s):

Check here to not give access to any employee
Check here to permanently delete this mailbox (all contacts, emails, etc)
(Once the mailbox is deleted, data is unrecoverable.)

Other:

Disposition of terminated employee’s documents
Give security/access to the following employee(s):
Move folders under the top level folder of this employee:
Check here to not give access to any employee.

Other:

Return of Company Owned Equipment
The separated employee may have been issued a company office access card or key fob, phone, Blackberry, or other computer equipment to be used at home. Will any of this equipment be recovered or re-issued? Please list any of this equipment and its disposition.

Application Security Considerations
The separated employee may have specific user access rights to various applications such as accounting systems, medical records/billing systems, etc. These accounts should be disabled or deleted. Please list any such applications and how you wish for this users account inside these applications to be handled.

Other Security Considerations
The separated employee may have been privy to key system administration security accounts, to other employee user account passwords, and to passwords on specific key documents or files. Please describe any security access or any other security considerations we should take into account.

Other Notes