ICT and Mobile Device Requirements

Employee Details

Name *

First

Last

Commencement Date *

Employee Location *

Business Unit

Department/Cost Centre *

Order Type

Mobile device only

Mobile Device Requirements

Phone Number *

Transfer existing number to Hazell Bros account
Existing Hazell Bros account
New service required

Handset Required

*Level 1 Smart Phone (full email access, Senior Mangers or as approved)
Level 2 Standard Phone
Level 3 Rugged Phone (All site personnel, drivers, operators etc.)

Check type required * Level 1 Requires EGM sign off

Tablet Requried

Check if yes

Accessories

Bluetooth Hands Free
Next G Data Card (staff with iPhones are expected to tether)
*Car Kit Field Service only (unless approved by GM, see below)

Check requirements * Requires EGM sign off

Computer Requirements

Details are hidden if Mobile Device Only is selected

Employee is receiving equipment from an existing employee

Check if yes

Software and File Access Requirements

Details are hidden if Mobile Device Only is selected

Assign equal user/group access as per current user:

Add user name or other requirements

Special requirements/ comments

Authorisation

Name of Supervisor/Manager completing this form *

First

Last

Date

Name

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