Form Osps.99.30 - Electronic Access Request - Osps Reports & Epayroll

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ELECTRONIC ACCESS REQUEST – OSPS Reports & ePayroll
Access Level:
LC – Labor Cost Distribution Reports for Agency Accounting/Fiscal Staff
PR – Payroll Reports for Agency Payroll/HR Staff (Includes LC access level)
 For non-Payroll/HR staff, please use the box provided in Section B to substantiate user’s
need for full payroll report access.
OREGON STATEWIDE
ePayroll Access Levels
PAYROLL SERVICES
BA – ePaystub only
o
(OSPS)
PA – ePaystub and eTime
o
(503) 378-3518 fax
TA – eTime view only
o
E-mail:
 For non-Payroll staff, please use the box provided in Section B to substantiate user’s
OSPS.Help@oregon.gov
need for ePayroll Access.
Online Resource Center:
Section A: User Information
If you need additional user information lines, use more than one form.
Agency Number(s)
INSTRUCTIONS TO
PAYROLL OFFICES:
RACF ID:
Employee ID Number (do not use SSN)
1.
Verify all fields are
complete.
OR
___ ___ ___ ___ ___ ___ ___
Ensure non-payroll staff
Full Name:
Email Address:
requesting ePayroll
2.
access section is
completed.
Report Access:
ePayroll Access:
3. Ensure your agency
number appears on the
___ LC
___ PR
___ BA
___ PA
___ TA
form.
4. Submit electronically
using the email submit
Section B: Authorization
button.
Non-Payroll staff requiring PR and/or ePayroll access due to the following:
Full Name
Title
Contact Number
OSPS Use Only
By my signature (print version) or email address (electronic submission) below, I authorize
Received Date Stamp
access to these agency information assets for the person(s) named on this request. I
understand that payroll reports may include Level 3 information. I certify that once our agency
payroll, human resource and accounting departments accesses online reports, we will save
said reports to secure network folders or CD accessible only to authorized users. These
information assets are subject to Statewide Policy # 107-004-110 to ensure that we are in
compliance with Secretary of State Archive retention requirements.
Signature/Email Address:
Date:
For OSPS Use Only
Submit by Email
PRINT
For OSPS Use Only
Revised 10/2017
___ PUSC Access Verified
___ Online Access Granted
Form No. OSPS.99.30
___ OSPS Manager Approval
___ E-mail Notification to User(s)

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