Request for Access to WVFIMS
(West Virginia Financial Information Management System)
Please ADD CHANGE DELETE the following WVFIMS User Profile
Date:
Organization Information
Org Name:
Division:
Address:
User Information
Non-FIMS Logon? YES NO
IS&C User ID: Menu Group:
First Name: Last Name:
Phone Number: Extension:
User Org Number: Payroll Inquiry? YES NO
Authorization Org Number: Comment On
‘COM’/’DEL’ Documents? YES NO
Transaction Approval? YES NO
Signature Sheet Entry? YES NO
CICS Printer ID: Off Systems Auth:
E-Mail Address:
Agency Department Head: ____________________________________ Date: _________________
TO BE COMPLETED BY WVFIMS STAFF)
System Entry Completed By: __________________________________ Date: _________________
RACF Connect________________________________ RACF Disconnect_________________________