Docutrack Tracking System
User Access Form
_______________
Date
This form is to provide Full-time or Part-time employee and Student Assistants access to the
Docutrack System. All users are reminded that they must comply with all MDC policies and
procedures governing the use and operation of MDC technology.
Employee Information: Please print clearly:
Name (First, MI, Last) MDID # Office Phone Number
Employee Status: ___Full-time ____Part-time _____ Student Assistant
I authorize the above listed employee access to the Docutrack Tracking System.
Chairperson/Department Head Department Phone Room
________________________________________ ________________________
Signature Date
________________________________________ ________________________
Dean’s Office Designee Date
This form must be completed and routed through your respective Dean’s office. The Dean’s
office must maintain a copy and the original forwarded to Network Services, Room 1327
for processing. The Chairperson/Department Head and user will be notified via e-mail when the
process is completed. Once a user is terminated from your department, a copy of this form
must be sent via your Dean’s office to Network Services requesting that user access be
terminated.
Completed by: _______________________________ Date: _________________
Network Services Tech.
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