SafeSource Direct New Hire Request Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Requestor InformationRequestor Name (First and Last) *Requestor Title *Requestor Phone *Requestor Email *EmailConfirm EmailNew Employee InfomationEmployee Name (First and Last) *Employee Office Location *SMS Plant - Building 1 - LouisianaNitrile Plant - Building 2 - LouisianaAlabamaOtherHeadquartersOther Employee Office Location *Employee Job Title *Employee Supervisor *Employee Start Date (First Day of Work) *Employee Department *AccountingAdministrationChemicalCompoundingEngineeringEnvironmentHuman ResourcesLogisticsMaintenancePackagingProductionQualityResource AccountsSafetySalesShipping & ReceivingTechnology / R&DToolsTrainingOtherEmployee Other Department *Hardware PurchaseNote: All hardware requests will go through an approval process prior to ordering.Purchase new Laptop or Desktop? *YesNo, will use existing hardwareHardware Type *Laptop Regular UserLaptop Power User (High Performance)Desktop Regular UserDesktop Power User (High Performance)Laptop Accessories Required (Optional)Docking StationExternal MonitorKeyboardMouseNumber of Monitors: *Monitor Size (Inches): *22"24"27" (AutoCAD Users)CommentsSoftware RequiredOffice 365: *Office 365 Business Basic (Email Only)Office 365 Business Standard (Email + Office Applications)NoneSoftware Required: *Adobe Acrobat ProMS VisioMS ProjectAutoCADFusion 360R4 AccessAssureSign Electronic Document SigningZoom Video ConferencingOther (Specify In Comments)NoneOther Software Not Listed: *What user should we mirror R4 access to? *Additional Software Comments (Optional):PermissionsLocal Machine Administrator Required? *Yes (Requires COO Approval)No (More Secure)Email Distribution Groups (Provide the email address): *File Server Share Permissions (Includes parent and all subfolders): *Accounting - ReadAccounting - Read/WriteAdministration - ReadAdministration - Read/WriteBuilding - ReadBuilding - Read/WriteCost Savings Tracker - ReadCost Savings Tracker - Read/WriteEmployee Relations - ReadEmployee Relations - Read/WriteEngineering - ReadEngineering - Read/WriteEnvironmental - ReadEnvironmental - Read/WriteFinance - ReadFinance - Read/WriteGlove Plant Master Documents List - ReadGlove Plant Master Documents List - Read/WriteHR Level 2 - ReadHR Level 2 - Read/WriteHuman Resources - ReadHuman Resources - Read/WriteMaintenance - ReadMaintenance - Read/WriteMaterial - ReadMaterial - Read/WriteOperations - ReadOperations - Read/WritePrivate - ReadPrivate - Read/WriteProject Proposals - ReadProject Proposals - Read/WriteQMS - ReadQMS - Read/WriteQuality - ReadQuality - Read/WriteSales - ReadSales - Read/WriteSMS Plant - ReadSMS Plant - Read/WriteSoftware - Read (R4 Remote App)Software - Read/Write (R4 Remote App)SSD Contracts and Instructions - ReadSSD Contracts and Instructions - Read/WriteSSD QMS Master Documents - ReadSSD QMS Master Documents - Read/WriteTimeline - ReadTimeline - Read/WriteTraining - ReadTraining - Read/WriteNoneMiscellaneousComments (Optional)AttachmentsFile Upload Click or drag a file to this area to upload.Submit FormCommentSubmit
