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Intranet, Internet and Email Access It Service Desk

This document is an IT access request form used by the Department of Public Works and Highways to request intranet, internet, and email access. It requires information such as the requester's name, office, position, contact details, type of access requested, and purpose. Upon submission, the request is evaluated by the Information Management Service and must be approved by the Chief of the Technology Support Division and Director of IMS before access is granted.

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Jasper Kenneth Peralta
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194 views1 page

Intranet, Internet and Email Access It Service Desk

This document is an IT access request form used by the Department of Public Works and Highways to request intranet, internet, and email access. It requires information such as the requester's name, office, position, contact details, type of access requested, and purpose. Upon submission, the request is evaluated by the Information Management Service and must be approved by the Chief of the Technology Support Division and Director of IMS before access is granted.

Uploaded by

Jasper Kenneth Peralta
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Form No.

IMS-2014-05-00

Department of Public Works and Highways


IT SERVICE DESK INTRANET, INTERNET AND EMAIL ACCESS
Information Management Service REQUEST FORM
ICC Building, Bonifacio Drive, Port Area, Manila

ITSD Incident No.


REQUEST
Date of Application: Employment Status:
Employee Name: Regular Employee
(Last Name, First Name, Middle Name)
Office/Division/Section: Casual / Job Order
(Contract expires on )
Position:
Consultant / Contractor / Supplier
Contact Number: (Contract expires on )

Requested Action: (Please check where applicable)

Type of Access Purpose / Reason

✔ Access Intranet (DPWH website, shared files and printers, etc.)

Access other government websites (GSIS, BIR, DBM, etc.)

Access private organizations' websites (Google, Yahoo, etc.)

Send email to DPWH offices

Send email to other government agencies and private organizations

Increase number of email recipients (default is 10)

Increase email attachment size (default is 10MB)

Increase in mailbox size (default is 250MB)

Delete user account

Disable user account (from: __________ to __________ )

Enable user account

Requested / Authorized by:

Head
Head of Office
Office
(Signature over Printed Name)
AGREEMENT
I have read and understood the Policies and Guidelines on the Use of DPWH Information and Communication Technology (ICT) Resources,
Department Order No. 013, series 2015, and hereby agree to abide to these; that any violation thereof shall lead to the revocation of all my rights
and privileges to access the DPWH ICT Resources and/or be subjected to disciplinary actions.
Attested by:

Employee's Signature over Printed Name Supervisor's Signature over Printed Name
EVALUATION OF REQUEST (to be filled out by IMS)

Date Received: Date Completed:


Purpose/s: The Office is (Please check where applicable)

involved in disaster, calamity and relief operations providing results to analysis based on benchmarking against other companies
involved in research regularly requiring latest information about their profession/functions
involved in education and training accomodated in the Department that regularly communicates through
regularly communicating with consultants/contractors email with their "Mother" agencies

regularly communicating with external communities Others (Please specify)


Action: Remarks:

Approved Disapproved

Evaluated by: Recommending Approval: Approved by:

Chief, Systems Administration Section / Chief, Technology Support Division Director IV, IMS
Regional IT Support Officer (Signature over Printed Name) (Signature over Printed Name)
(Signature over Printed Name)
Please contact the ITSD for more details about this form.

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