icompucare | FORMFILL.online

RequestID

Request Date*

Requester Details*

Name Department Mobile Number

Request Priority*

Low - On next routine visit to my office
Mid - Within 5 working Days
Urgent - Within 24 Hours *

Important: For Urgent Request Additional charges may apply depending on our onsite visitation schedule and contract terms.

Company Name

Email

Request Type*

I need a Quotation from Sales Department
I need Technical Support
Software Installation/Removal Request
Remove Resigned User
Create New Staff Email and Access
Modify Application/ Programming/New Report
WIFI Access Request
Activate Remote Access for my PC

Support Issue

Problem Description*

Please describe your problem clearly so we can assist.

Screenshot/Files Upload

Drop files here or

To help us please include any screenshot of the problem. To take screenshots press CTRL-P and open a new word document and CTRL-P to paste.

Appointment Date

Please provide Date when engineer can come and fix this issue

Time*

: HH

MM

Quotation Request

Describe what you need*

Needed By*

When do you need this items delivered by

Software Installation/Removal Request

I want to*

Install Software
Remove Software
Update to Latest Version

List of Software*

Please provide Software Name and License Key if any for installation. If this request of for a few PC please provide the PC Name

Details

I have the License Key or Serial Number
I have the CD to install on my machine
Im authorised to install this on my machine

Remove Resigned User

Name and Email Address

Put each name in one line for more then 1 removal

Items to remove*

Delete Email Address
Remove Access to Systems/Folders
Delete all Files in Personal Folders

Special Instruction (If Any)

Please provide any additional system that needs to be updated due to this staff resignation if any

New Staff Provisioning

We require at least 48 Hours notice for any New Staff Request.

New Staff Details*

Prefix Name Phone Department Designation

Desired Email Address

Please Create

Email Address
Access to Servers
Provision A PC if available

Special Instruction of Applications for this user*

MSOffice, Antivirus, PDF reader and Winzip will be installed by default. If there is any specialized applications needed please list it here and ensure license and CD is available for installation.

Staff Joining Date*

Programming Request

System Name

Changes Needed by*

Detailed Request

Screenshots

Drop files here or

WIFI Access Request

Device that needs access*

Please submit one form per device

Reason to access Company WIFI

Remote Access PC

PC Name*

Right Click ThisPC on your desktop and Click Properties. Device Name is your PC Name

Required By

Terms of Service*

Remote Access from any PC to office system pose security risks so granting access is in agreement of the following Terms

1. User will only access using a system that has a valid and updated antivirus. If not sure please check with IT Support

2. Passwords will be kept secure and not shared with any third party. Use will use Two Factor Authentication to login

3. No Data should be copied from to 2 the office System. Data confidentiality should be followed based on the Organizations IT Policy. Copying files to the office system can alsoinfect the office network. So this function will be disabled

4. After each session please logout propery.

I agree to the Terms of Remote Access

Name

This field is for validation purposes and should be left unchanged.

Online Self Service Request Form

iCompuCARE Client Request