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New Employee Request

Name of new employee *

First

Middle

Last

Is this employee replacing an existing employee? *

Is this employee a rehire? *

If yes, is that employee still employed with Angelina County? If no, all access will be disabled. *

Name of previous employee

First

Last

Department *

Position *

Phone

Cell Phone Number (for use with text computer authentications - optional)

What is the 4 digit phone extension the new employee will be using?

What is the name of the computer the new employee will be using?

Please check all access that is needed *

Requestors Name *

First

Last

Requestors phone number *