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 IT Request Form

Please complete this form at least 7 days prior to the start date of a new hire, or prior to a termination. The form response will be sent to the RSM ClientCare help desk for review and approval. Contact the help desk at 866-848-2531 option 1 with any questions or if you need assistance.

Request Information


User's General Information 















User's General Information 







Computer, Phones, & Peripherals

Desk phone & extension

















Applications, Licenses & Permissions















Distribution Groups





Termination Information