Web Invoice System - Security Officer Request Form - Oregon Department Of Administrative Services

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State of Oregon
DAS Fleet & Parking Services
Web Invoice System - Security Officer Request Form
Please identify the person(s) in your agency who may authorize employee access to the
Motor Pool Invoice secure web site.
Agency Security Officer Information
Name:
Agency Name:
Agency Number:
Mailing Address:
City:
Phone Number:
Email Address:
Signature:
Alternate Security Officer:
Name:
Agency Name:
Agency Number:
Mailing Address:
City:
Phone Number:
Email Address:
Signature:
Only the above named employee(s) will be allowed to add or delete individual
user access to the Motor Pool Invoice secure Web site. These change requests
must be sent via email to:
motor.billing@oregon.gov
Please fax this form to 503-378-5813.
Revised: 10/26/2017

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