7LPHWDEOH AccessRequest Form
Staff Member
First name
Last name
JC/Staff Number
Contact information
Phone
Email address
Access Type
Directorate/Division
Name
College
Signed (Manager/Dean or nominee)
Date
Name/Position
Office Use ONLY
Entered
Yes
No
Name/Position
Date
Notes
Timetabler full access
Timetabler CP only access
Authorisation Manager access
Report Manager access
Training completed?
Date
Yes
No
Signed
Report Manager access requested through
Help Desk - ADSplusReports group?
Yes
No
click to sign
signature
click to edit
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