New Collexus User Setup Request

Request to setup a new User ID/Operator

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* 1. Your Name:

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* 2. New User:

First Name

Last Name

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* 3. New User Operator Code

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* 4. New User Email Address (i.e. consumer@armagroup.com.au)

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* 5. Team Code

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* 6. Operator Security Access

Level 1 (CRM Standard Access)

Level 2 (Consumer Intermediate Access)

Level 3 (Senior Collector)

Level 4 (Insurance Admin)

Level 5 (Team Leader)

Level 6 (Recoveries Manager/Sales)

Level 7 (Finance)

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* 7. Operator Email Signature (Collexus Emails)

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* 8. Additional Information:

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* 9. Date Required

Date

Date