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City of Royal Oak, MI

support@romi.gov

203 S Troy St, Royal Oak, MI, 48067, US

City of Royal Oak - Information Technology

Please use Google Chrome to fill out this form

NETWORK ACCESS or CHANGE REQUEST

Employee's Full Name

For New Employee's a Network Logon Name and Email Address will be assigned by I.T.

Full/Part Time

Date The Employee Starts

Date Picker

New PC Required?

Software Required

BS&A Applications Needed

New Desk Phone Required?

Type of Desk Phone

Cell Phone Required?

Type of Cell Phone

Date Change Should be Effective

Date Picker

Date of Termination

Date Picker

Reason for Delete

Retain Email?

Has the employee/contractor read and signed the Computer Security and Usage Policy

Is this user a police department or court employee?

Has the employee read and signed the Acceptable Use Policy?

Sign Here

Choose how to sign

Receipt

You will be provided with a Receipt upon submission.