Gemini/KB New User Request Form

Requestor's Name: *

Requestor's Email: *

Employee's Full Name: *

Employee Cell Phone Number: If not available. Please advise a follow up date to acquire.

Employee Start Date: *

Employee Job Title: *

Employee Manager: *

Employee Work Location (primary): *

EBS

Gemini

KB Systems

Employee being setup at multiple locations: *

Yes

No

Setup user with an extension: *

Yes

No

Phone Device Type: *

Physical Phone

Teams Calling

Both

Special setup instructions: (Ring Groups, etc) *

Existing Workstation: *

Yes

No

Who was the machine previously occupied by: *

Service Tag of previously occupied machine:

Please provide a description of where this user will be setup in the building, if applicable

Employee Machine Type: *

Desktop Options: *

Laptop Options: *

Employee E-mail address: *

Office 365 Licensing *

Full Office License w/ e-mail (Business Standard)

E-Mail Only Account (Business Basic)

Microsoft Project

Microsoft Visio

Microsoft Teams Phone Standard

OtherOther

I acknowledge and accept the charges associated with obtaining the additional 365 license(s) needed for this setup. I understand that these license additions are necessary for proper functionality of this setup.

I agree.

User to have same network access as:

Name of current employee

Mapped Drives:

Gemini Software (check all that apply) *

Required Rockwell Software:

Navision permission similar to:

Name of current employee

KB Systems Software (check all that apply)

Required Rockwell Software:

Gemini E-Mail Groups: *

KB E-Mail Groups: *

Gemini printers: *

Canon iR-ADV 4551i ll Accounting

Canon iR-ADV C5540i ll Engineering

Canon iR-ADV C5540i ll Main Copier

Canon iR-ADV C5540i ll Parts (CS)

HP Laserjet Pro M402n Parts Room

HP Laserjet M605 Sales

Canon iPF770 Plotter

Select default printer *

KBS printers: *

Canon iR-ADV C5540i ll Bulk Ingredients

Canon iR-ADV C5540i ll Sales

Canon iR-ADV C5540i ll Engineering

Ricoh MP CW2200PS

HP Laserjet M608

Select default printer *

Add user to Gemini Edge Teams channel:

Yes

No

Any special notes or instructions:

New User Form