TUFIMS Authorization Form
SSN:  - - 
Name: 
(First, MI, Last)
Dept: 
Fax to CSS Security (713) 500-4850 
From:
Dept: 
Fax#: 
TPX ID:
(e.g.,2AMX)		 TUFIMS ID: (e.g.,2AMX) Bldg.Code & Room: Phone: () -

Check the appropriate area (s): New ID Transfer Change Access Delete ID
Transaction Access
Completion of appropriate training is required.
Basic Transactions (GR, MR, PP, RI, RM, RC, RN, RQ, SO, SR, and MTI tables). Other Specify transactions & capabilities requested (e.g.
BM, CR or IV).
Travel 
(TA, TO, TC,
and TE). 		 Sm Order Approvals(SO). 
Account Access
Request for accounts access require the signature(s) of the Organization Manager or Principal Investigator which are listed on the ORGN and GDES tables, respectively. Account access will be provided for all transactions and budget tables unless otherwise specified.
Fund Area Org     Fund Area Org     Fund Area Org
       
       
       
       
Comments/Exceptions 
Security Use Only
Training 
Security
Completed 
Signature  __________________________ 
Employee		 __________________________ 
Print Name		 ___________
Date
Signature  __________________________ 
Department Manager or Designee		 __________________________ 
Print Name		 ___________
Date
Signature  __________________________ 
Principal Investigator/ Organization Manager		 __________________________ 
Print Name		 ___________
Date
Signature  __________________________ 
Principal Investigator/ Organization Manager		 __________________________ 
Print Name		 ___________
Date
Signature  __________________________ 
Principal Investigator/ Organization Manager		 __________________________ 
Print Name		 ___________
Date
All individuals are responsible for the management of information resources and are accountable for their actions relating to information resources security. Individuals using information resources are expected to know and comply with published university policies and procedures. By signing this contract,you agree to only use the userid/password for the purpose intended and not share or disclose a password. Failure on the part of any individual to comply may result in disciplinary action including suspension without pay or termination of employment or contract. A person may be subjected to civil or criminal legal sanctions when a violation occurs. It is the responsibility of all personnel to report any suspected or confirmed violations of this policy to Client Support Services or appropriate management.

University of Texas - Houston Health Science Center. Client Support Services. UCT 1100. 500-4848
Printing & Faxing Instructions || More accounts
 
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