Human Resources Access Request Form
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1Human Resources Access Request Form
University of Massachusetts Amherst
Name
Emp ID#
Email Address
Last, First, MI
8-digits
Employee Job Title
Full Name of Employing Department
Campus Address
Campus Phone #
Rm# & Building Name
Employee Type:
UMass Staff/Faculty
UMass Student
Temp/Consultant
If Access is temporary, enter the dates when it should begin and end:
Begin
End
1.
Do you currently have access to PeopleSoft Human Resources (HR), Financials (FS) or Student Administration (SA) system(s)?
NO
Yes
Operator ID
NEW USERS
must sign a Computing Awareness & Data Security Compliance Statement which is available on the web at:
https://inside.umassadmin.net/Policies/computerawarn.htm
. Attach the signed Statement to this Access Request Form.
Attend training prior to receiving an Operator ID and Password. Call 545-2119 for training information.
2. Briefly describe why you need access to Human Resources (HR) data:
3. Type of HR access needed (check all that apply) :
OIT/TelCom/Police
View/Inquiry
Student Hire
Timekeeping
4. If requesting View/Inquiry, list the DEPT IDs you need access to:
5. If requesting Timekeeping, list the GROUP IDs for which you will be entering time:
Access Responsibilities & Signatures
Department Head
- I authorize the above-named employee to have HR access for the purposes of fulfilling his or her job responsibilities.
In the event the individual leaves the employ of my department, I understand that I must promptly notify Human
Resources so the access can be terminated immediately.
______________________________________
_____________________
Authorized and Approved by:
Department Head Signature
Date
Employee
-
The PeopleSoft Human Resources Management System (HRMS) is to be used solely by those who are granted
access, for the purpose of conducting official University business and performing assigned job duties. It is the
responsibility of those who are given HRMS access, to read and comply with the University’s Fair Information Practices
Regulations (FIPR):
Employee
I accept responsibility for maintaining the confidentiality of the data which I am authorized to view/update and
Signature
-
understand that my HRMS Operator ID/Password may not be shared with anyone else. Violations of FIPR may
result in suspension and/or termination from employment with the University.
______________________________________
_____________________
Employee Signature
Date
Send completed form to:
HR Data Custodian, Division of Human Resources, 330 Whitmore Building.
(Faxed copies are not acceptable)
HR Data Custodian Approval (Signature): _______________________________
Date _____________________
I/mp/ps/forms/HRAccessTemplate: 02/05/08
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Parent category: Business