
 
                                                                                        Questions About This Form Please Call: 
                                                                       Information Technology Office 
                                  244-2317  
             
I.T. New Employee Checklist 
 
Employee Information 
(This form must be completed by the Supervisor and submitted to IT 48 hours prior to first day of employment. We will need 2 
weeks to order new equipment. Please let me know as soon as possible if we need to order equipment.) 
 
Name:    __________________________________  Date:    ______________________________ 
 
Location:  __________________________________  Employee’s Phone:      _________________________ 
 
Department:  __________________________________  Job Title:  ______________________________ 
 
Employment Status Information 
 
Employment Status:  ________   New Hire    ___________   Transfer 
 
Begin Date:    _________________ 
 
Network 
(Each full-time employee will be issued a network login which includes a terrehaute.in.gov account. Work on the network may not 
begin until logins have been created.)  
 
Network      IT will set up a one-time password that must be changed after the first login.  New passwords must be                   
           at least 8 characters long and include three of the following: UPPERCASE, lowercase letters, a number or a      
                       symbol; also cannot include part of your first/last name or your last three passwords.  
 
Equipment 
(Please check all equipment employee has been issued for personal use) 
 
Need to Order New Computer:          YES         NO 
  
Computer       Serial Number: _______________________    
 
Monitor           Serial Number: _______________________   
 
Key Fob       ID Card    
PDA            Serial Number: ____________________       
 
Laptop             Serial Number: ____________________     
 
 
Software 
(Please check all software needed.) 
 
Microsoft Office Standard    (includes Excel, Word, Outlook, PowerPoint) 
 
Microsoft Office Professional    (includes Excel, Word, Outlook, PowerPoint, Access and Publisher) 
 
CUBS     Data Med     GIS      LinkO     Tele Staff       Track IT      Fundware       PD Records/CAD   
 
Any Drives/Folders Needed: ___________________________  
 
Special Requirements: _________________________________________________________________________ 
 
Approved by Supervisor:  _____________________________________    Date:  ________________________   
 
IT/Version 2/3/2017