IT Services Request/Change/Disable Form
Employee Information
Requestor Name Department Date Submitted
Full User Name Department
Position Title
Start Date
Current Office/Cube # New Office/Cube #
Replacement New Position
Activate Deactivate Modify
NV Courts Email Requested
Applications
CourtView
Crystal Report Server
Citrix
Additional Comments
Comments
Disable Information
Termination Date
Yes
Legal Hold
No
Authorization
Supervising Manager Approval
Service Manager Approval (if necessary)
Submit to the Trial Court Service Desk - trialcourtservicedesk@nvcourts.nv.gov
Date
Date
Yes No
Additional Trial Court Information Needed (CourtView Users Only)
Court Court Type
New User's Email Address New User's Telephone/Extension
Security Level (enter name the
account is to mirror)
Requested Case Type Access
Cashier Drawer
Yes No
Cashier Drawer Balance
Deactivate Citrix Desk Name
Yes
No
Requestor Information
Existing Citrix Desk Name Need new Citrix Desk Name
