Forms

Tell Us What you Think

Please use the form below to send feedback on your experience of working with us and any ideas you have for how our service could be improved'

All in one forms

Completion of this system request form will allow you to request the following for your new starter: Network user account O365 account Create or transfer NHS email account

IT Ordering Form

IT Order Form

Smart Card / RA form

Use this form to request a new smart card or to renew, change access or order a replacement.

Project request form

This form should be used to raise non-standard requests for IT. A non-standard request is typically an activity that requires greater than ½ days effort to complete. Such requests are not covered within the contract held with MLCSU and as such may be chargeable.

IMAC form

Please use the IMAC form to notify the MLCSU ICT customer contact centre of room and equipment moves. Please email the completed form to the MLCSU ICT customer contact centre - mlcsu.servicedesk@nhs.net at least 14 days prior to the change request date.

Staff leavers form

This form should be completed electronically by the Practice Manager or Line Manager and emailed from his/her own email account, as an attachment to: mlcsu.servicedesk@nhs.net

Mobile device form

Use this form to order or replace mobile phones/tablet/sim and to replace, reassign or port their numbers.

Bonded Stock Call Off Form

This form is specifically for use by MLCSU IT and PMO staff only.

MLCSU Mobile Application Request Form

Request additional business critical mobile applications on the Company Portal