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Vendor Access (California State University, Chico)

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Information Security Office
CSU Chico, California
Vendor Access Request Form
Note: The required information below
MUST be entered
online to request a vendor
account. This form is an information collection tool only.
Overview
Use this form when requesting a remote access account to campus systems by
vendors or consultants. Access must be limited to a specific system or set of
systems via VPN role.
Benefits
Contractors/Vendors may obtain VPN and system access to CSU, Chico servers or
services to perform authorized or contracted work.
Related Info
Accounts are for individual vendors, and are
NOT to be
shared.
A signed
Confidentiality Form
is required and will be obtained by SA Security via
DocuSign (entire form must be returned) prior to access.
The campus department contact is responsible for ensuring that a current contract
with the campus and vendor is on file with Procurement. A copy of the current
contract should be provided with the request.
Requirements for remote access to university systems and networks found here:
8045.S302 Remote Access Resources
Submit Request
Complete vendor access request form online: Vendor Request Form
Requirements
A Campus Sponsor must complete the following form for all vendors or 3
rd
party
access to CSU Chico's network and systems
Updated : 2018.04.19
Vendor/Third Party Remote Access Request Form
All of the information below will need to be collected prior to entering a request in TeamDynamix
Department Contact - The individual in the department that will be working with Contractor.
Name: First (MI) Last* Dept*
Email*
Appropriate Admin - The Admin must be a CSU, Chico MPP or Department Dean.
Name: First (MI) Last*
Email*
VPN Account and System Access **
Ac
cess by vendors should be limited to specific systems. Please list any additional system access details
below: Explain Requested Access
PeopleSoft
Please list specific systems that vendor will need access to (i.e. IP address, URL, server name)*
Is access to Level 1 or Level 2 data being requested?* Yes
No
http://www.csuchico.edu/isec/data_protection.shtml
Contractor/Vendor
Name: First (MI) Last* Phone # (this should be a direct line)*
Email*
Company Name*
Vendor Begin Access Date*
Vendor End Access Date
(if less than one year)
Contract Number
*Required Fields
**Additional forms may be required if access to Level 1 or Level 2 data is required.
Updated 04/19/2018
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Vendor Access (California State University, Chico)

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Completed 24 July 2020

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