2. 1. Name of Requestor*
4. 2. Department and Title*

   Note: Those requesting changes should be the Department Heads, CAOs for Elected Officials, etc.

6. 3. Name of Elected Official's Office/Division/County Office*
8. 4. Requestor's Contact Number*
10. 5. Requestor's Email Address*
12. 6. Request Type*

    1. 1. Add Lead Originator or Lead Approver
    2. 2. Remove Lead Originator or Lead Approver
    3. 3. Add Backup Originator or Backup Approver (max of 2 per area)
    4. 4. Request Review of Workflow for County Division/County Elected Official/County Office
    5. 5. Problems adding items into system
    6. 6. Other
14. 7. Provide detailed explanation of the action desired*
16. 8. Please indicate the date of submission for the change request and please allow up to 8 days for any changes to be formalized. Exceptions are approved by the Shelby County Board of Commissioners' Chief Administrator.*
    8. Please indicate the date of submission for the change request and please allow up to 8 days for any changes to be formalized. Exceptions are approved by the Shelby County Board of Commissioners' Chief Administrator.
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18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

* indicates a required field