UCPATH ACCESS FORM
2 (Rev. 6/2020)
Central Office/Unit Access
For the purpose of this form, Divisional Academic HR Representative are included in this central office access section
Central Offices (Select One)
☐ Academic HR Representative
☐ Financial Affairs
☐ Planning & Budget
☐ Internal Audit
☐ Career Center
☐ EPC (For Student Hiring)
☐ Risk Services
Please Describe Role/Duties Within Central Office
Roles are assigned based on business need. Please contact email@example.com for more information or guidance.
Section 3 – Row Level Access
Please provide the department codes which the user should have access to and/or approval for.
UCSC Departments & Department Security Tree. If you wish to provide access at the divisional level, please choose the dept ID in the level 2 column.
If you wish to provide more granular access, please choose the appropriate departments in the level 3 or 4 columns. Please contact firstname.lastname@example.org
for more information or guidance.
Section 4 – Authorization
Employee Signature & Date
Supervisor Signature & Date
Data Access Grantor Signature & Date
IMPORTANT: Completion of the Access to Information Statement is required for all new UCPath accounts. (CruzID Gold login required.)
Please refer to the list of current DAG Grantors for UCPath.