Revised 1/2017
Authorized User
Security/Account Access
New User/Change Form
Please complete this form to request a new user be added to the system or if a change has occurred.
Applicant Name: _____________________________ User ID: __________________ Date: ______________ New: _____ Change: ____
Please check the boxes for access required.
Business Intelligence (BI) Access Limited View (No Payroll): access to review account information on the SUNY portal system.
Business Intelligence (BI) Access Full View (Includes Payroll): access to review account information on the SUNY portal system.
Please list account(s) applicant needs BI access to: __________________________________________________________________
Procurement User: access as an authorized user to submit a purchase requisition electronically in the SUNY Finance and
Management System. Please complete below table for Procurement User access.
Account
Number
First Name
Last Name
User
ID
Title
Phone
Number
Building
Room
Requisitioner
Department Head
VP/Dean/Designee
User(s) to be
Removed
Purchase Card (Pcard): access to make purchases on a purchasing card. A Pcard application, separate from this form is
necessary to obtain a pcard. Please visit the Purchasing web page on the FSC web site to apply for a Pcard. Existing Pcard
holders do not need to apply for a new Pcard; your current card will be updated and linked to the account indicated below.
Please indicate which account number the Pcard should be linked to: ___________________________________
List additional security access (reports, transactions, security permissions etc.) needed for employee: _____________________________________________
It is the supervisor’s responsibility to inform the security administrator of user changes that will require modifications to the employee’s access.
Employee Signature: _____________________________ Print Name: _______________________________
Supervisor Signature: ____________________________ Print Name: _______________________________
Signature of Dean/VP: ___________________________ Print Dean/VP Name: ________________________