Please note, this request can take up to 3 business days to complete.

Request Type*

New Employee

Move / Promotion

Employee's Name: First*

Last*

Job Title*

Start Date*

Department*

Administrative Services Communications Development Services Environmental Services Financial Services Fire and Emergency Services Parks and Recreation Svcs Police Services Town Manager's Office Town Secretary's Office Library Services Public Works

Division*

Hiring Supervisor (Manager)*

Badge Number (if applicable)

Name of Employee That Previously Held Position (if applicable)

Application Access

Check All That Apply for Network Access

ICS CAD IBRS Cityworks Alchemy

Impact/CRW Tyler/Incode MCRS

Other (enter below)

Telephone Access*

New

None

PC Access*

Existing None

New

If existing PC, where is it located?

Fire Department Lists: (check all that apply)

Fire, Administration

Fire, Fighters

Police Department Distribution Lists: (check all that apply)

Police, Traffic Police, Patrol Supervisors Police, Detectives Police, Duty Chief Police, Beat: All Police, Supervisors

Police, Sworn Police Officers Police, All Employees Police, Communications Supervisors Police, FTO Police, 911 Comm. Center Employees Police, SWAT

Distribution List Other:

Notes (Anything else we need to know?)

Submitted by: (Who is submitting this form?)*

Submitters Email: (What is the submitter's email address?)*