Blue Team Form

Requestor: Date:

Service Type:
Key Needed (Identify room/building in comment section)
Telephone
Computer
E-Mail

Employee Computer Account (E-mail and User Storage)Status (All Terminating Employees):
Note: Employees have two types of computer account storage-e-mail and user storage which is where Word, Excel and other documents are stored. User storage documents will automatically be saved when an employee terminates. What we need to know about is what you want done with the terminating employees e-mail storage. Please Check Only One Box.

Employee has no e-mail storage.
Employee has e-mail storage but information should be deleted.
Employees e-mail storage should be saved on network and person to have future access to this stored information is:
Employee name(s):

Involuntary Terminations Only:
Please check this box only if you want the employees e-mail and user storage information saved to permanent media and stored in the Office of Human Resources.

Type of request:
***Prior to implementation, cost analysis must be performed by Blue Team

Select from list or other ***Office Move Facility ***Rearrange Office Facility Contract Ending Employee Resignation Employee Retirement New Employee, New Position Position Change Replacement Employee Temporary Position Ending Name Change Title Change Other:

PLEASE FILL OUT BOTH OLD AND NEW EMPLOYEE INFORMATION

Old Employee Information:

Name: SSN/Banner ID:

Title: Supervisor:
***as shown on organizational chart***

Department: Phone Extension:

Office Number: Effective Date:

Position Class and Codes: Select From List 10 President 20 Vice President & Deans 30 9-10 Month FT Faculty 35 11-12 Month FT Faculty- Main Campus 36 11-12 Month FT Faculty - Fort Riley 40 AssocFaculty/ExmptStaff(Temporary) 45 PT Fac/Coach/<1/2 Exempt Staff 50 FT Exempt Staff 51 FT Exempt-Less Than 12 Month 55 PT Exempt 3/4 Time 56 PT Exempt 1/2 Time 60 FT Hourly Staff 61 FT Hourly-Less Than 12 Months 70 PT Hourly Staff (Part Benefits) 71 PT Hourly Staff (No Benefits) 75 PT Hourly Staff (Temp) 99 Early Retiree Recipient

New Employee Information:

Name: SSN/Banner ID:

Title: Supervisor:
***as shown on organizational chart***

Department: Phone Extension: Office Number:

Arrival Date for Services: Position Effective Date:

Position Class and Codes: Select from list 10 President 20 Vice President & Deans 30 9-10 Month FT Faculty 35 11-12 Month FT Faculty- Main Campus 36 11-12 Month FT Faculty - Fort Riley 40 AssocFaculty/ExmptStaff(Temporary) 45 PT Fac/Coach/<1/2 Exempt Staff 50 FT Exempt Staff 51 FT Exempt-Less Than 12 Month 55 PT Exempt 3/4 Time 56 PT Exempt 1/2 Time 60 FT Hourly Staff 61 FT Hourly-Less Than 12 Months 70 PT Hourly Staff (Part Benefits) 71 PT Hourly Staff (No Benefits) 75 PT Hourly Staff (Temp) 99 Early Retiree Recipient

Describe phone routing, voice mail, or phone listing changes, changes in physical layout, additional equipment needed, desired time frame for completion, etc. in Comments section.

Comments: