New Employee Form

Employee's First and Last Name(Required)

Please check spelling; these will be used for email and username.

Job Title(Required)

Start Date(Required)

Supervisor's Name

Please explain where employee will be sitting

Enter account code(s) and % breakout.(Required)

Required format: PPSS-AA-XXXX-YYYY – ##%

Replacing(Required)

Account code for Identifying Markers.(Required)

Required Format: PPSS-AA-5000-YYYY

Programs employee needs associated with on the Contact Us website page(Required)

List all EDS access/permissions needed.

Comments/Other Information

Your Email(Required)

Employee – New