IT Security Access Request Form

Supervisors must complete this form 2 weeks prior to the official start/termination date for all employees. This will allow the appropriate time for IT to complete all necessary steps. To begin, first select either New Employee or Remove/Terminate Access.
Required fields are denoted with a *.

What Access Are You Requesting?

New Employee

Remove/Terminate Access

What is your email?

Full Name of Employee:

Supervisor:

Employee's FSUID:

Job Type:

A&P

USPS

Faculty

OPS Fac

OPS Non Fac

Graduate Assistant

Employee Position Title:

Start/Effective Date and Time:

Termination Effective Date and Time:

Department/Institute/Center:

Is this a new position?

Yes

Please provide the name of former position holder:

Will new equipment be ordered or is equipment being transferred?

New Equipment

Transfer Equipment

Employee with only use their personal computer

×Someone from CSW's IT Team will contact you to get more information on what equipment needs to be ordered.

Will any specialty software need to be purchased?

Yes

Please indicate distribution lists the employee should be a member of:

Shared Mailbox Access?

Yes

SharePoint Access?

Yes

Level of Access

Full Access

Read, Edit, Contribute

Read Only

K: Drive Access?

Yes

Are physical keys or card swipe access needed for the new employee?

Yes

Additional Comments or Details

By checking here, I agree to the terms below.

I agree that I am an authorized party to request a termination of access for the employee above. I also understand that upon submitting this form, all access to CSW resources will be terminated on the date and time specified above. If exceptions are needed, please indicate in the Additional Comments of Details field.

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