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Location*
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Head Office: CCL
Head Office: CCL
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Devonshire
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First Name
Last Name
Phone
Class*
Employee
General Inquiry
Hardware (Mobile/Workstation/Printer/Home Theater)
Network Drive Or Folder Access Requests
Network/Internet Issues
New Office Setup
Software(VPN,Email,Yardi,Camera,Intercom,FOB,etc)
Job Status (Full time/part time/Casual)
Employee Name*
Specify Folder Path
Permission Level*
View Only
View & Print Only
View & Modify
Employee Name*
Current Device Model*
(choose below)
None
Blackberry
Huawei
Iphone
Ipad
Samsung
Shaw Landline
Motorola
Turbo Stick
Other
Printer Location Details*
New Model Preferred*
(choose below)
Not Required
Blackberry
Huawei
Iphone
Ipad
Samsung
Shaw Landline
Motorola
Turbo Stick(Bell)
Other
Is a phone # attached to device? Provide Details
Hardware Required*
(choose below)
Not Required
Blackberry
Huawei
Iphone
Ipad
Samsung
Shaw Landline
Motorola
Turbo Stick(Bell)
Other
Accessories Required*
Not Required
Charging Cable
Charging Adapter
Case Cover/Screen Guard
Software Type*
(choose below)
Adobe
Account Reset Tool
BitDefender End Point Protection
Proof Point
Remote
Camera Software
Fob System
Google Chrome
HomeFront
Intercom
Lifeline System
Microsoft Office(Word/Excel/PowerPoint/Publisher)
VerticalCity TV
PatchMyPC
RingCentral Meetings
Schlage Time Clock
PharmaCare
Sage - Timberline
Shaw Landline System
Ringcentral Landline
Sherpadesk
Surge
VPN
Yardi
Other
Software Type*
(choose below)
Adobe
Avanti
Account Reset Tool
BitDefender End Point Protection
Proof Point
Remote
Camera Software
Fob System
Google Chrome
HomeFront
Intercom
Lifeline System
Microsoft Office(Word/Excel/PowerPoint/Publisher)
Macrium Reflect
VerticalCity TV
PatchMyPC
RingCentral Meetings
Schlage Time Clock
PharmaCare
Sage - Timberline
Shaw Landline System
Ringcentral Landline
Sherpadesk
Surge
Time Clock
VPN
Yardi
Other
Software Type*
(choose below)
Adobe
Avanti
Account Reset Tool
BitDefender End Point Protection
Proof Point
Remote
Camera Software
Fob System
Google Chrome
HomeFront
Intercom
Lifeline System
Microsoft Office(Word/Excel/PowerPoint/Publisher)
Macrium Reflect
VerticalCity TV
PatchMyPC
RingCentral Meetings
Schlage Time Clock
PharmaCare
Sage - Timberline
Shaw Landline System
Ringcentral Landline
Sherpadesk
Surge
Time Clock
VPN
Yardi
Other
Software Type*
(choose below)
Adobe
Avanti
Account Reset Tool
BitDefender End Point Protection
Proof Point
Remote
Camera Software
Fob System
Google Chrome
HomeFront
Intercom
Lifeline System
Microsoft Office(Word/Excel/PowerPoint/Publisher)
Macrium Reflect
VerticalCity TV
PatchMyPC
RingCentral Meetings
Schlage Time Clock
PharmaCare
Sage - Timberline
Shaw Landline System
Ringcentral Landline
Sherpadesk
Surge
Time Clock
VPN
Yardi
Other
If Other, Please specify
If Other, Please specify
If Other, Please specify
If Other, Please specify
Accessories Required*
Charging Adapter/Cable
Docking Station
HDD/SSD (Change/Upgrade)
Laptop Keyboard Replacement
Laptop Bag
New Battery(Replacement/Upgrade)
Video & Sound System Like Speakers/Microphones/Webcam
Mouse
Monitor
USB Flash Drive
Wifi Related Accessories like AP/Adapter
Other
If Other, Please specify
Hardware Required*
Wifi Box or Access Point
Shaw Landline Phone
Printer
Computer with Keyboard/Mouse/Monitor
Monitor Only
Failed equipment*
Docking Station
HDD/SSD
Keyboard
Laptop
Mouse
Monitor
Tower
Other
If Other, Please specify*
Accounts Needed*
Computer Login Account
Yardi Account(Check Only for Non - Clinical Staff)
Ringcentral Account
Avanti Account
Email Account (Do not Check for HCA, unless its a special Request
Employee Full Name(Multiple entries allowed)*
Employee Designation*
select
Community Manager
Director Of Care
Health Care Aide Or Companion
Head Chef
House Keeping
Leasing Manager
Licensed Practical Nurse
Maintenance Tech
Payroll/Scheduler
Practice Lead
Recreation Therapist
Recreation Coordinator
Receptionist/Concierge
Security Staff
Site Coordinator
Sales & Marketing
Team Lead
Other
Hold down the -ctrl- or -command- key to select multiple.
Employee Designation (If not found in above list)
Manager Name ( Who this staff reports to)*
Employee Start Date*
RadDatePicker
RadDatePicker
Open the calendar popup.
Calendar
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RadDatePicker
RadDatePicker
Open the time view popup.
Time picker
Time Picker
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11:15 PM
11:30 PM
11:45 PM
Community name*
Does the user require Laptop/Cell Phone/Hardware?
(choose below)
Yes
No
If Yes, Provide Details on what is required
Special Instructions (If Any)
Employee Name*
Community name*
Existing Position *
(choose below)
Executive Director
HCA Or Companion
Head Chef
House Keeping
Life Style Navigator
LPN
Maintenance
Payroll/Scheduler
Recreation Therapist
Recreation Coordinator
Resident Service Coordinator
Receptionist/Concierge
Security
Sales & Marketing
Team Lead
Tour Host
Unit Clerk
Wellness Manager
Other
New Position*
(choose below)
Executive Director
HCA Or Companion
Head Chef
House Keeping
Life Style Navigator
LPN
Maintenance
Payroll/Scheduler
Recreation Therapist
Recreation Coordinator
Resident Service Coordinator
Receptionist/Concierge
Security
Sales & Marketing
Team Lead
Tour Host
Unit Clerk
Wellness Manager
Other
Employee New Position Start Date*
RadDatePicker
RadDatePicker
Open the calendar popup.
Calendar
Title and navigation
Title and navigation
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RadDatePicker
RadDatePicker
Open the time view popup.
Time picker
Time Picker
12:00 AM
12:15 AM
12:30 AM
12:45 AM
01:00 AM
01:15 AM
01:30 AM
01:45 AM
02:00 AM
02:15 AM
02:30 AM
02:45 AM
03:00 AM
03:15 AM
03:30 AM
03:45 AM
04:00 AM
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04:30 AM
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05:00 AM
05:15 AM
05:30 AM
05:45 AM
06:00 AM
06:15 AM
06:30 AM
06:45 AM
07:00 AM
07:15 AM
07:30 AM
07:45 AM
08:00 AM
08:15 AM
08:30 AM
08:45 AM
09:00 AM
09:15 AM
09:30 AM
09:45 AM
10:00 AM
10:15 AM
10:30 AM
10:45 AM
11:00 AM
11:15 AM
11:30 AM
11:45 AM
12:00 PM
12:15 PM
12:30 PM
12:45 PM
01:00 PM
01:15 PM
01:30 PM
01:45 PM
02:00 PM
02:15 PM
02:30 PM
02:45 PM
03:00 PM
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05:00 PM
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05:30 PM
05:45 PM
06:00 PM
06:15 PM
06:30 PM
06:45 PM
07:00 PM
07:15 PM
07:30 PM
07:45 PM
08:00 PM
08:15 PM
08:30 PM
08:45 PM
09:00 PM
09:15 PM
09:30 PM
09:45 PM
10:00 PM
10:15 PM
10:30 PM
10:45 PM
11:00 PM
11:15 PM
11:30 PM
11:45 PM
Manager Name ( Who this staff reports to)*
Employee Name(Multiple Entries Allowed)*
Account Deactivation Date & Time*
RadDatePicker
RadDatePicker
Open the calendar popup.
Calendar
Title and navigation
Title and navigation
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April 2025
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RadDatePicker
RadDatePicker
Open the time view popup.
Time picker
Time Picker
12:00 AM
12:15 AM
12:30 AM
12:45 AM
01:00 AM
01:15 AM
01:30 AM
01:45 AM
02:00 AM
02:15 AM
02:30 AM
02:45 AM
03:00 AM
03:15 AM
03:30 AM
03:45 AM
04:00 AM
04:15 AM
04:30 AM
04:45 AM
05:00 AM
05:15 AM
05:30 AM
05:45 AM
06:00 AM
06:15 AM
06:30 AM
06:45 AM
07:00 AM
07:15 AM
07:30 AM
07:45 AM
08:00 AM
08:15 AM
08:30 AM
08:45 AM
09:00 AM
09:15 AM
09:30 AM
09:45 AM
10:00 AM
10:15 AM
10:30 AM
10:45 AM
11:00 AM
11:15 AM
11:30 AM
11:45 AM
12:00 PM
12:15 PM
12:30 PM
12:45 PM
01:00 PM
01:15 PM
01:30 PM
01:45 PM
02:00 PM
02:15 PM
02:30 PM
02:45 PM
03:00 PM
03:15 PM
03:30 PM
03:45 PM
04:00 PM
04:15 PM
04:30 PM
04:45 PM
05:00 PM
05:15 PM
05:30 PM
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06:00 PM
06:15 PM
06:30 PM
06:45 PM
07:00 PM
07:15 PM
07:30 PM
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09:15 PM
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10:15 PM
10:30 PM
10:45 PM
11:00 PM
11:15 PM
11:30 PM
11:45 PM
Email History/P Drive Required? Provide Details*
Call/Email Forwarding Required? Provide Details*
Choose All that is applicable*
Printer Address Book Removal
Ringcentral Account Removal
Yardi Account Removal
Email Account Removal
Computer Login Account removal
Special Instructions (If Any)
Auto Reply Required? Provide Details*
Employee Name*
Employee Designation*
(choose below)
Executive Director
HCA Or Companion
Head Chef
House Keeping
Life Style Navigator
LPN
Maintenance
Payroll/Scheduler
Recreation Therapist
Recreation Coordinator
Resident Service Coordinator
Receptionist/Concierge
Security
Sales & Marketing
Team Lead
Tour Host
Unit Clerk
Wellness Manager
Other
Provide Phone Number/s Details*
Priority
select
Use Default
1 - HIGH PRIORITY
For full system faults/full location issues
2 - Priority Issue\Ongoing Projects
For issues from Management or escalated issues.\ONGOING PROJECT work
3 - Escalated-Multiple\Projects
An Escalated or Priority issue. Or an issue affecting Multiple systems./ Standard in Projects Queue
4 - Standard System Issue
For a single system issue, on site or at head office
5 - Problem for Later
An issues that will wait until a site visit for another issue
6 - Causual Question
A casual question from a staffer about a computer issue
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