CMS Human Resources Data Access Request Form
CMS Human Resources Data Access Request Form User Information Last Name:
First Name:
Otter ID # (Not SSN):
Work Phone: DeptID:
Email:
Working Title:
Contact (If other than the user): Change Existing Access
New Access
Access Roles for Departments Approve Student Assistant Time (Timekeeper)
Create/Print Temporary Faculty Contracts**
Enter Hourly Employee Time (Timekeeper)
Department
Absence Management (check one)
College
Have you completed Training?
Proxy for who? Review Absences
Please identify DeptID(s) access needed:
Run Payroll Detail Reports **
DeptID(s)
Department
Create/Print Temporary Faculty Contracts**
Yes
No
Run Payroll Detail Reports **
Yes
No
** Training is required by operational staff before access. Please contact ASM to schedule training.
Division
Service Provider Functions (For University Personnel, Payroll and Finance only) Other Functions
University Personnel Choose one
New Hire Notifications Clearance Notifications
Benefits Administration
Benefits Administration for Students
Choose one
Employee Hire
Staff
Choose one
Faculty
Background Check Administration Choose one Employee Evaluation Leave Administrator Regulatory Reporting
Choose one
Staff
Corp
Faculty
Training Administration
AM GAAP Reports Financial Aid View ASM - LCD, IB and FIN Support ASM - HRIS Support
FMLA Administration
Payroll
ASM Use Only:
Budget Administration (Budget Dept Only)
Corporation Hire Specify Additional Instructions:
Payroll Administration
Advance Payroll Setup & Administration Absence Review Employee Signature: Dean / Director (MPP) Signature:
Print Name:
Date:
ASM Use Only:
Return Completed form to Administrative Systems Management (Mtn Hall D) Information Security Awareness Training Completed, Confidentiality Agreement on file or attached?:
Yes
No
Verified By:
Forward form to CMS Security Analyst CMS Security Analyst Signature:
Date:
Form Updated: 11/2017
First Name:
Otter ID # (Not SSN):
Work Phone: DeptID:
Email:
Working Title:
Contact (If other than the user): Change Existing Access
New Access
Access Roles for Departments Approve Student Assistant Time (Timekeeper)
Create/Print Temporary Faculty Contracts**
Enter Hourly Employee Time (Timekeeper)
Department
Absence Management (check one)
College
Have you completed Training?
Proxy for who? Review Absences
Please identify DeptID(s) access needed:
Run Payroll Detail Reports **
DeptID(s)
Department
Create/Print Temporary Faculty Contracts**
Yes
No
Run Payroll Detail Reports **
Yes
No
** Training is required by operational staff before access. Please contact ASM to schedule training.
Division
Service Provider Functions (For University Personnel, Payroll and Finance only) Other Functions
University Personnel Choose one
New Hire Notifications Clearance Notifications
Benefits Administration
Benefits Administration for Students
Choose one
Employee Hire
Staff
Choose one
Faculty
Background Check Administration Choose one Employee Evaluation Leave Administrator Regulatory Reporting
Choose one
Staff
Corp
Faculty
Training Administration
AM GAAP Reports Financial Aid View ASM - LCD, IB and FIN Support ASM - HRIS Support
FMLA Administration
Payroll
ASM Use Only:
Budget Administration (Budget Dept Only)
Corporation Hire Specify Additional Instructions:
Payroll Administration
Advance Payroll Setup & Administration Absence Review Employee Signature: Dean / Director (MPP) Signature:
Print Name:
Date:
ASM Use Only:
Return Completed form to Administrative Systems Management (Mtn Hall D) Information Security Awareness Training Completed, Confidentiality Agreement on file or attached?:
Yes
No
Verified By:
Forward form to CMS Security Analyst CMS Security Analyst Signature:
Date:
Form Updated: 11/2017
