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Terminate/New User Request
Today's Date
Question Type
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Name of Organization
Question Type
If your organization has more than one location, please state which location the user is located at. 
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Answer key
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Your Name
Question Type
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Answer key
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User Name
Question Type
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Answer key
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User Email
Question Type
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Answer key
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Please Select:
Question Type
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New User Request
Terminate User Request
Add option
or
add "Other"
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Answer key
(0 points)
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If you chose "Terminate", do you want total deletion, or just restricted access?
Question Type
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Total Deletion
Restricted Access
Add option
or
add "Other"
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Answer key
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WARNING: If you chose "Total Deletion" are you aware that this will result in that user being completely removed and deleted?
Question Type
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Yes
Add option
or
add "Other"
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Answer key
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If this is a new user, please enter the groups that they should be in:
(Admin, Secretary, Attorney, Paralegal, Firm, etc)

Question Type
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Answer key
(0 points)
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If your company has multiple locations, please specify which location/s the user is with.
Question Type
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Answer key
(0 points)
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Additional Email Access Request (Proxy Access Rights)
Question Type
Please include
  • Mailbox Name
  • Monitor Name
  • Signature Block
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Answer key
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Additional Email Access Request CONT.
Question Type
Please choose Proxy/PST AND if you'd like permanent/temporary access.
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Proxy (Active Email Monitor)
PST (Archived Messages)
Permanent
Temporary (please include an end date for access in the "other" section below)
Other:
Add option
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Answer key
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Temporary Proxy Access Rights
Question Type
Chose an end date for access. 
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Answer key
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Request for Access
Question Type
Choose what you are requesting access to/from.
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DUO MFA
Office 365
Breach Secure Now
Other:
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Answer key
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Request for Access CONT.
Question Type
Please state your reason for this request.
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Answer key
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Please enter your initials below as confirmation that you have carefully read and completed this form, followed by the date.
Question Type
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Answer key
(0 points)
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Please enter the responsible party's name and email (if applicable)
Question Type
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Answer key
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Type this code: L2O3PY
Question Type
This code is to verify you are a human. Protected by xfanatical.
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Answer key
(0 points)
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Today's Date
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Name of Organization
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Your Name
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User Name
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User Email
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Please Select:
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If you chose "Terminate", do you want total deletion, or just restricted access?
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WARNING: If you chose "Total Deletion" are you aware that this will result in that user being completely removed and deleted?
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If this is a new user, please enter the groups that they should be in:
(Admin, Secretary, Attorney, Paralegal, Firm, etc)

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If your company has multiple locations, please specify which location/s the user is with.
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Additional Email Access Request (Proxy Access Rights)
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Additional Email Access Request CONT.
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Temporary Proxy Access Rights
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Request for Access
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Request for Access CONT.
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Please enter your initials below as confirmation that you have carefully read and completed this form, followed by the date.
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Please enter the responsible party's name and email (if applicable)
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Type this code: L2O3PY
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