ACCOUNT CHANGE REQUEST (ACR)
(For Additional instructions go to the VAR Resource Center/Operations/Account Change Request Page)
The following are the required fields that need to be filled in for all type of Account Change Requests.
*Please note: Not filling in the required fields may result in your request being delayed.
Service Request Number
(1)Type of Change Request (see list below)
(2)Date Request is Signed
(3)Detailed reason for change
(4)All Serial Numbers to be changed
(5)Original Company(End Account) Information
(6)Company Contact Information and signature (person with authority i.e. Owner/Officer/ Manager depending on size of company, to request and approve change/transfer)
INDIVIDUAL TYPES OF ACCOUNT CHANGE REQUESTS
In addition to the required fields mentioned above, the following types of change requests require the corresponding fields to be filled out in the Account Change Request Form. Please identify the type of request you are submitting and fill in the required fields on the Account Change Request Form, accordingly.
Type of Change Request / Required Field(s)- Change of Reseller
- PO for Change of Reseller fees if service is current or has expired 90 days or less
- If subscription service is current
- Change of Location
- Change of Account Name
- Change of Account Name and Location
- Change of Account Name and *Seat Transfer
(*Seat Transfers – Statement must be initialed) / (7)New Customer (End Account) Information
(8) New Contact Information and signature
(person with authority i.e. Owner/Officer/ Manager depending on size of company, to request and approve change/transfer)
(9) Current/New Reseller Information
- PO for Change of Reseller fees if service is current or has expired 90 days or less and current Reseller can cover new location
- If subscription service is current and current Reseller can cover new territory
- ***International *Seat Transfer
See License Transfer Policy as posted on the VRC>Operations>Services>Forms & Documents / (7)New Customer Information
(8)New Contact Information and signature
(person with authority i.e. Owner/Officer/ Manager depending on size of company, to request and approve change/transfer)
(9)Current and New Reseller Information
(10) Current and New TSM’s Name and email approval (email accepted)
***In Addition to Territory Sales Manager (TSM) approvals – All International Seat Transfers changing Countries/Regions must be approved by both country VP Sales Managers (DSSolidWorkswill obtain these approvals.)
- PO for Transfer Fees(contact ACR team for amount due)
Service Request Number: ______
*(1) Type of Account Change Request / *(2) Date*(3) DETAILED REASON FOR CHANGE REQUEST (Be specific)
*(4) Enter all Serial Numbers e.g. 0001 0034 3528 9878
*(5) Original Customer Information
Registered Company Name
Address
City / State / Postal Code / Country
Account Telephone / Account Fax / URL (Web Site Address)
*(6) Original ContactInformation
*AGREEMENT, AUTHORIZATION, AND CERTIFICATION (Read Carefully): I, the undersigned, submit and verify that the Account Change Request form and information, to the best of my knowledge,contain true and correct statements. I understand that knowingly making a false or inaccurate statement on this form may result in a rejection of my request and a denial of authorization. I hereby authorize Dassault SystèmesSolidWorksCorp. to verify the information on this form and this authorization should any questions arise.
Name (print) / Job Title / Signature*
*For Seat Transfer requests only
Your Signature will serve as certification that all Dassault Systèmes SolidWorks Corp. software listed above has been transferred back to activation and removed from all computers at this company location, including home users. By signing this, you agree that Dassault Systèmes SolidWorks Corp. will be entitled to invoice you if you fail to transfer and remove the software. This applies to all Dassault Systèmes SolidWorks Corp. licenses purchased for one location that have been approved for transfer to a new location. *INITIAL HERE______
Contact’s Direct Telephone / Contact’s Direct Fax / Contact’s Direct email
(7) New Customer Information
Registered Company Name
Address
City / State / Postal Code / Country
Account Telephone / Account Fax / URL (Web Site Address)
(8)New Contact’s Information
*AGREEMENT, AUTHORIZATION, AND CERTIFICATION (Read Carefully):I, the undersigned, submit and verify that the Account Change Request form and information, to the best of my knowledge,contain true and correct statements. I understand that knowingly making a false or inaccurate statement on this form may result in a rejection of my request and a denial of authorization. I hereby authorize Dassault Systèmes SolidWorks Corp. to verify the information on this form and this authorization should any questions arise.
Name (print) / Job Title / Signature*
Contact’s Direct Telephone / Contact’s Direct Fax / Contact’s Direct email
*(9) Reseller Information
Current Reseller (Print name) / New Reseller (print name)
(10)Current Territory Sales Manager (TSM) / New Territory Sales Manager (TSM)
Attention Customers:When the form is completed and signed, please submit it to your Dassault Systèmes SolidWorks Corp.Reseller, who will then forward to Dassault Systèmes SolidWorks Corp.
Attention Dassault Systèmes SW Resellers:Pleaseconfirm that all requirements are met forthis request.Create a Service Request on the VAR Resource Center and attach all documents to the SR for approval and processing by Records Administration.
June 2012