Section 1: Main contact details

Name

Email

Telephone number

Job title

Organisation

Preferred contact times

Section 2: Alternative contact details

Name

Email

Telephone number

Job title

Organisation

Preferred contact times

Section 3: Date of service transfer

Date service transfer required

Section 4: Service transfer dependencies

Question 1: Is the work to identify and recreate professional users smartcard roles complete? Select an option Yes No

Question 2: If no to Q1, is the work to identify and recreate professional users smartcard roles underway? Select an option Yes No

Question 3: If yes to Q2, will this work be completed before the transfer date requested? Select an option Yes No

Question 4: Do all locations where services will be transferred to have an ODS code assigned? Select an option Yes No

Question 5: If no to Q4, has a request to the ODS helpdesk been submitted? Select an option Yes No

Section 5: Service transfer conference call

We will need to arrange a conversation with you and your colleagues to discuss transfer requirements in more detail.

Please provide the names and email addresses of everyone who will need to be invited to the conference call: