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DoIT Request Access Form

DoIT - Access Request - 420 Form

"*" indicates required fields

Step 1 of 3

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Manager/Supervisor Information

Manager/Supervisor Name*

First Last

Manager's Email*

Manager's Phone*

Department*

DHHS Programs

Education Programs

Executive Programs

GSS Programs

Membership Programs

Natural Resources Programs

Planning & Economic Development Programs

Public Safety Programs

Employee Information

Employee Name*

First Last

Employ Status*

New Employee

Existing Employee

Employee Scale*

Full-Time

Temporary

Occasional

Vendor/Contractor

Requesting Access

Access to the following*

Email

Internet

Office 365

IP Phone

Email Group

Shared Mailbox

Network Folder

SharePoint Contributor

Database

Other

IP Phone Ext

Email Group

Shared Mailbox

Network Folder

SharePoint Contributor

Database

Other

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!Address

Tohono O’odham Nation

P.O. Box 837 | Sells, AZ 85634
contactus@tonation-nsn.gov
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!Governance Office

Executive Office

Sells Business Loop Sells, AZ 85634

!Website

www.tonation-nsn.gov

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