This form is for creating new accounts for Contractors only. New hire requests should only come from HR, and you will use the forms they provide. E-mails will be sent to the IT, Facilities, and Design teams, once you click the Submit button. The setup will take 5 business days to complete. It is important that the information you submit is correct. If you have any questions, email Information Technology at [email protected]. Please enter your email address*This will allow us to send a copy of this form notification to you. New ContractorNew Contractor's First Name*Please make sure this information is accurate. IT will use the user's desired first initial and last name to create the account New Contractor's Last Name* New Contractors's Preferred Name Job Position* Start Date* MM slash DD slash YYYY Contractor's first day will be at which location?*This ensures delivery of laptop and expedites contractor photo. Google On-Site Oakland Monterey Bay Sacramento San Francisco Santa Clara Two - Davis Street Remote If Remote:What address should equipment be shipped to? (If receiving any) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code What is the new contractor's personal email address? What is the new contractors phone number?Employment Hours Full-Time Part-Time Team / Dept.*To select more than one - select the first team, click/hold the Ctrl key on your keyboard and select the next team1000-10-102-1000 South Bay Design1000-20-102-1000 North Bay Design1000-21-102-1000 Two Design1000-21-301-1000 Two Sales1000-31-102-2000 Oakland Design Learning Environments1000-31-102-2010 Oakland Design Healthcare1000-40-102-0000 Sacramento Design1000-41-102-0000 Salinas Design1000-60-102-1000 Google Design1000-60-105-2030 Google Offsite5000-10-108-0000 South Bay-Project ManagementOfficial Location* Google On-Site Oakland PBI San Francisco Santa Clara Two - Davis Street Sacramento Manager* Manager Email* Manager Phone/Ext.* This Contractor Will TravelCheck this box if this Contractor needs to be set up on the American Express Business Travel Account Yes AMEX Credit CardAll credit card requests must be approved through Finance. Yes Equipment (Check all that apply)Software (* will be charged to your department) Hedberg Email Address AutoCAD AEC (Design) - $4800 * AutoCAD LT - $480 * CET - $1,200/yr * Sketchup Pro - $700 * PDF Editor - $15 * Project Viewer - $25 * Adobe CS - $600/yr * Steelcase Village MxT MxB Oracle Plangrid - $472 * Please select Hedberg RoleCoordinatorsDesignersFinanceOperationsProject ManagersSalesStudio WestHardware Laptop iPhone Other Facility NeedsAccess Card For Oakland Office Sacramento San Francisco Office Santa Clara Office Santa Clara Warehouse TWO No Access Card Access Card Times Regular Hours 5am-6pm M-F After Hours Access 24/7 Comments and Notes