Agency Work Request Form

Please use this form to clearly define your work request. ITS will contact the agency directly to gather more information and discuss next steps.

Your Agency (required):
—Please choose an option—ADM - Department of AdministrationAGE - Commission on AgingART - Commission on the ArtsBARL - Idaho Barley CommissionBEAN - Idaho Bean CommissionBTA - Board of Tax AppealsCDHH - Idaho Council for the Deaf and Hard of HearingCHA - Commission on Hispanic AffairsCOMM - Department of CommerceCOPP - Commission of Pardons and ParoleCTF - Idaho Children's Trust FundDEQ - Department of Environmental QualityDFM - Division of Financial ManagementDHR - Division of Human ResourcesDHW - Department of Health and WelfareDOF - Department of FinanceDOI - Department of InsuranceDOPL - Division of Occupational and Professional LicensesEFIB - Endowment Fund Investment BoardGOV - Office of the GovernorICBVI - Commission for the Blind and Visually ImpairedICDD - Idaho Council on Developmental DisabilitiesICDV - Council on Domestic Violence and Victim AssistanceICI - Correctional IndustriesIDFG - Department of Fish and GameIDJC = Department of Juvenile CorrectionsIDOC - Department of CorrectionIDOL - Department of LaborIDL - Department of LandsIDPR - Department of Parks and RecreationIDVR - Division of Vocational RehabilitationIDVS - Division of Veterans ServicesIDWR - Department of Water ResourcesIIC - Idaho Industrial CommissionIMD - Idaho Military DivisionIPC - Idaho Potato CommissionIPTV - Idaho Public TelevisionIRP - Idaho Rural PartnershipISB - Idaho State BarISDA - Department of AgricultureISHS - Idaho State Historical SocietyISP - Idaho State PoliceITD - Idaho Transportation DepartmentITS - Information Technology ServicesIWC - Idaho Wheat CommissionLIB - Idaho Commission for LibrariesLIQ - State Liquor DivisionLGO - Office of the Lieutenant GovernorLOT - Idaho State LotteryOAH - Office of Administrative HearingsODP - Office of Drug PolicyOEM - Idaho Office of Emergency ManagementOER - Office of Energy and Mineral ResourcesOSC - Office of Species ConservationPER - Public Employee Retirement System of IdahoPDC - State Public Defense CommissionPUC - Public Utilities CommissionRRC - Idaho Rangeland Resource CommissionSAPD - State Appellate Public DefenderSDB - Idaho School for Deaf and BlindSILC - Idaho State Independent Living CouncilSPD - Office of the State Public DefenderSWC - Soil and Water Conservation CommissionTAX - Idaho Tax CommissionWDC - Idaho Workforce Development Council

Your Name (required):

Your Phone Number (required):

Your Email Address (required):

Agency Work Sponsor:

Sponsor's Email Address:

Describe the problem you are trying to solve (required):

What are the desired outcomes for your agency from this work request (required):

What are the expected benefits of this work to your agency (required):

Has your leadership approved this work? (required)
YesNo

If yes, please provide the following:
Approver's Name:

Is there timeline for this work? (required)
YesNo

If yes, please provide the timeline details:

Is the timeline tied to funding or compliance? (required)
YesNo

Please explain.

Describe the possible impact/risks to your agency if action is not taken on the problem.

Does this work request have Federal requirements? (required)
YesNo

If Yes, please describe these requirements:

Is this work associated with a Governor initiative or Legislative mandate? (required)
YesNo

Please describe.

For each of the following areas, please describe any agency goals, benefits, risks, and issues ITS should be aware of related to this work request:

Financial Impact:

Political Impact:

Customer Service Impact:

Staff Impact:

Data Integrity and Security:

Is sensitive data involved in this work? (PII/PHI/HIPAA/CGIS):

Physical risk for staff and property:

Do you consider this work to be:
CriticalImportantEnhancement

Work is considered critical if there is potential for non-compliance with legislative or federal mandate, loss of funding, monetary penalty, or potential loss of providing services.