Fillable Access Request Form For Pos Systems (Nova Southeastern University)

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Access Request Form For Pos Systems (Nova Southeastern University)

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Country of origin: US
File type: PDF

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Access Request Form to NSU POS Systems
Date:
Banner ID:
N#: Phone #:
NSU
Email:
POS
System:
Request:
Location:
Date Completed PCI Training:
Role/Privilege Given to Requesting Employee:
Date Approved by Supervisor:
Supervisor Phone Number:
Supervisor N#:
Supervisor Signature:
Supervisor Email address:
***External or Internal Auditing View Reports ONLY Access***
Name of Auditor: N# for Auditor
:
Date Access Given:
Admin:
Admin N#:
*Please be aware before access you must complete the online training for PCI Compliance. For more informtion email PCI@nova.edu
Name:
Date:
Administrator of POS System:
***Once this section is completed submit to your supervisor for approval***
***Once this section is completed, submit to POS Administrator by email***
For Administrator Use Only:
For Supervisor Use Only:
NSU POS Forn: 06/05/17
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Access Request Form For Pos Systems (Nova Southeastern University)

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Completed 23 July 2020

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