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 AdministrationAGING - Commission on AgingAGRI - Department of AgricultureAIR - Air National GuardARMY - Army National GuardARTS - Arts CommissionBARLEY - Barley CommissionBEAN - Bean CommissionBTA - Board of Tax AppealsCOMMERCE - Idaho Department of CommerceDFM - Division of Financial ManagementDHR - Division of Human ResourcesDOI - Department of InsuranceDOPL - Division of Occupational and Professional LicensesEFIB - Endowment Fund Investment BoardFINANCE - Department of FinanceGOV - Office of the GovernorICDD - Council on Developmental DisabilitiesICDV - Council on Domestic ViolenceICHA - Commission on Hispanic AffairsICTF - Idaho Children's Trust FundIDFG - Department of Fish and GameIDOC - Department of CorrectionIDPR - Department of Parks and RecreationIDWR - Department of Water ResourcesIIC - Idaho Industrial CommissionIRP - Idaho Rural PartnershipISHS - Idaho State Historical SocietyISP - Idaho State PoliceITS - Information Technology ServicesOAH - Office of Administrative HearingsODP - Office of Drug PolicyLGO - Office of the Lieutenant GovernorODP - Office of Drug PolicyOEMR - Office of Energy and Mineral ResourcesOSC - Office of Species ConservationPDC - State Public Defense CommissionPOTATO - Potato CommissionPUC - Public Utilities CommissionSAPD - State Appellate Public DefenderSB - Bar, StateSILC - State Independent Living Council State CollegeSPD - Office of the State Public DefenderSWC - Idaho Soil and Water Conservation CommissionTAX - Idaho Tax CommissionVETERANS - Division of Veterans ServicesVR - Division of Vocational RehabilitationWDC - Idaho Workforce Development CouncilWHEAT - Wheat Commission

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.