Common Logon Permissions For Nslp - Arizona Department Of Education
Download a blank fillable Common Logon Permissions For Nslp - Arizona Department Of Education in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Common Logon Permissions For Nslp - Arizona Department Of Education with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1Common Logon Permissions for NSLP
Please scan & e-mail the completed form to
ADESchoolNutrition@azed.gov
CTDS #
Sponsor Name (
this is the name of your District, your Non-Profit, your Church, etc.)
First Name
Last Name
(of person having permissions added/deleted)
Username
Work E-Mail Address
(enter if you already have a username that you use to
login to the ADE Common Logon. Example: JSmith1983)
Work Phone Number
Title
Ext.
Permissions Section
Check here to request CNP Verification permissions OR to keep them if you received them
previously.
Check here to request CNP Annual Financial Report (AFR) permissions OR to keep them if
you received them previously.
Check here if the user should be DELETED
Authorized Representative
Signature
Date
Work Phone Number
Ext.
Work E-Mail Address
As the above named Authorized Representative, I certify that I am a Governing Board Member that is listed on the Certification Page of
the ADE Food Program Permanent Service Agreement Contract; or a Designated Official/Authorized Representative that is listed on the
last page of the ADE Food Program Permanent Service Agreement Contract. I understand by signing this document I am certifying that the
above named User has been provided with the ADE Acceptable Use Policy; is an employee with this organization; and understands the
responsibilities associated with the Common Logon Permissions for Health and Nutrition Services. Finally, I understand that it is my
responsibility to request ADE to disable this user account, should this employee resign or be terminated from employment with the
above named organization.
ADE USE ONLY
Approved By:
Date:
Revised 9/14/2017
ADE Child Nutrition Programs Representative
Arizona Department of Education, Health and Nutrition Services
1535 West Jefferson Street, Bin #7, Phoenix, Arizona 85007 * (602) 542-8700 *
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal