PeopleSoftAccessRequestForm
CIFinancials
Work
Order
#
Requestor:
Ext:
RequestType:
☐New ☐Modify ☐Delete
Step1: UserInformation–AppropriateSupervisor–Pleaseverifythissection.
Name(FirstM.Last): PSEmployeeID
:
EmailAddress: WorkPhone#
:
Position/JobFunction: Department
:
Step2: AppropriateSupervisor–Pleasecompletethissection,reviewwiththeappropriateSecurityLead,print,sign
andreturnformtotheT&CHelpdeskforassignmentandprocessing.
CFSSecurityRole(s)Requested: CFSCCI_EU_FinInquiry_02
CFSCSU_AP_Inquiry_01
CFSCSU_AP_ProCard_02
CFSCSU_FS_DWReporting_01
OtherRole(s)Requested:
BusinessUnitAccess(Circlebusinessunitsrequested)
PrimaryPermissionList:(Administrative Use Only)
CompletedCMSAccessandComplianceForm:
☐
Yes
☐
No
AppropriateSupervisor Signature Date
Step3: Authorizations‐PleaseobtainsignaturesbeforesubmittingformtotheT&CHelpdesk
Theemploye
ei
d
en
ti
fi
edaboveisapprovedandcertifiedtoreceivetherequestedPeopleSoftaccess.
Lacey
Lovejo y
(Director,
Financial
Systems)
Signature
Date
PeopleSoftSecurityAdministrator
Comments:
Print:
Signature
Date
CFSCSU_FS_DWReporting_02 CFSCSU_PT_PeopleSoft_User
CFSCSU_FS_DWReporting_03 CFSCSU_PT_Process_Monitor
CFSCSU_PO_Inquiry_01 CFSCSU_PT_Query_Viewer
CSUCFS_AR_Inquiry_01
PAPP_USER
______________________
CIASI CICMP CICSA CICSU CIFDN CIGAP CIUGC
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 administrative (including employee, applicant and student information) and academic
records accessible through computer-based information systems. Please ensure you have reviewed the above information with the
appropriate Security Lead(s) before signing this form.
CFS PSAR - Last updated 06/24/2015
