Security Request Form

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BANNER
Human Resource System
Security Request Form
(TO BE SUBMITTED PRIOR TO TRAINING)
Please check one:
New User
Change to Current User Profile
Delete User
Reserved for Dean/Director/ or Department Chairperson:
I, _____________________________________________ , authorize the above action for the individual named below:
______________________________________________________________
Name of Department (typed)
Dean/Director/or Department Chairperson Signature
Date
User is: (please check one)
Faculty
AMP/SP
Temporary (OPS)
Student Employee
Name
Last
First
M.I.
Z#:
FAU E-mail Address:
Phone Ext.:
AVAILABLE TEMPLATES
INDIVIDUAL FORM (SCREEN) SELECTION
(Select all that apply with X)
For use when template is not available or sufficient
(Please list any desired forms (screens). For display only)
TIMEKEEPING - display/entry
OFFICE ADMINISTRATION- display only
(i.e. Deans, Directors, Business Managers,
Department administrative personnel)
PLEASE CHECK EMPLOYEE CLASS(ES) YOU WILL NEED
EPAF User - Processing of EPAFS
ACCESS TO:
(Must have Timekeeping or Office Administration as well)
Faculty Employee Classes
OTHER – Please specify
AMP/SP Employee Classes
Temporary (OPS) Employee Classes
Adjunct Faculty
DEPARTMENT / TIMEKEEPING ORGS
(List all that apply)
Comments or Special Instructions:
Dept. Contact Name:
Dept. Contact Phone:
Return to: Department of Human Resources, ADM 102B
FOR HUMAN RESOURCES ONLY
NOTE: Access may be authorized for official use only.
Authorized by:
(Print)
Signature
Date
Revised April 2007

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