* This form will be kept on file.
PeopleSoft System Access Request Form
Rev. 7/22/2010
(PSAR)
Guidelines
Processing overview:
1. Form is completed by user & appropriate supervisor.
2. Supervisor verifies roles with appropriate module security leads.
3. All signatures obtained, including supervisor and all appropriate data owners.
4. Completed and signed CMS Compliance form is forwarded to HR where it is kept on file.
5. Completed and signed PSAR form is forwarded to ITS Help Desk.
6. ITS Help Desk opens ticket.
7. ASG Queue Supervisor assigns ticket to security team.
8. Security team looks for hard copy PSAR form.
9. Security team reviews PSAR form for completeness. Incomplete forms are returned to the
requestor for completion along with instructions.
10. Security team performs work based on PSAR form.
User/Appropriate Supervisor
- Complete all form fields.
- Do not attempt to complete this form unless the user has an Employee ID.
- Contractors, consultants, and temporary employees do not require an Employee ID
- Please indicate if the request is for a student worker/assistant.
Step 1.
The PSAR form is used to request:
PeopleSoft user account creations.
PeopleSoft user account modifications.
PeopleSoft user account deletions.
Appropriate Supervisor
- Complete all form fields.
- Review information with the appropriate Security Lead.
- Ensure that a CMS Access and Compliance form is on file with Human Resources. If
one is not on file with HR obtain the form from http://www.csuci.edu/cicms .
- Print, sign, and date.
Step 2.
Appropriate Supervisor
- Contact your Security Lead to determine which signatures to obtain.
- Send completed form with all signatures to the ITS Help Desk where a Help Desk
ticket will be opened.
Step 3.
The PSAR form is not used to request:
Non-PeopleSoft System access. i.e. email, domain accounts, etc.
PeopleSoft Security Role modifications.
Please complete the PeopleSoft System Access Request (PSAR) form in its
entirety. Incomplete forms will be returned to the requestor.
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* This form will be kept on file.
PeopleSoft System Access Request Form
Rev. 7/22/2010
(PSAR)
Student Assistant:
Security request type:
My signature below certifies that the above named employee requires access to data in a computer-based information system
because such data is relevant and necessary in the ordinary course of performing his/her job duties. I understand my obligation
to provide training to this employee to ensure that he/she understands the state and federal laws and University policies that
govern access to and use of information contained in employee, applicant, and student records including data accessible through
computer-based information systems.
Signature
CMS Security (to be completed by PeopleSoft ITS Security Administrators)
Comments:
PS Security:
The employee identified above is approved and certified to receive access to PeopleSoft.
Signature:
Signature:
Signature:
Signature:
Signature:
Yes
No
Modify UserNew User Delete User
Yes
No
User Information -- Appropriate Supervisor, please verify this section.
Appropriate Supervisor Information --
Appropriate Supervisor, please complete this
section, review with your Security Lead, print the form, sign it, and return it to the
Information Technology Help Desk for processing.
Step 1.
Step 2.
Add/Update Access Security: (If known, list the name of an existing or prior PeopleSoft user that the individual requesting
security should mirror. If a modification is necessary, please include details.)
HCM/CS (CI Records)
CFS (Common Financials System )
FIN (Finance)
Step 3.
Authorizations (please obtain signatures before submitting to ITS)
Employee has a completed CMS Access and Compliance form on file with HR.
Neal Fisch (Director, Application Solutions)
Jane Sweetland (Dean of Enrollment Services , Financial Aid)
Missy Jarnagin (Dir., Budget, Purchasing and Support Services)
Ginger Reyes (Director, Admissions and Records)
Anna Pavin (Interim AVP, Human Resources Programs)
Date
Signature:
Name (First M. Last) :
Email Address :
Position/Job Function :
Department :
PS Empl ID :
Work Phone # :
Date:
Date:
Date:
Date:
Date:
Date:
Name :
Modification Details :
PeopleSoft
Security Role(s):
Please ensure you have reviewed the above with the appropriate security lead(s) before signing this form
Appropriate Supervisor
Work Order #
Request Type
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