TUFIMS Processor Authorization Form
Fax to CSS Security 713.500.4850
| Name: | Dept: | ||
| SSN: | Bldg Code/Rm: | ||
| Current TUFIMS ID: | Fax: | ||
| Phone: | From: |
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****Security Use Only**** |
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| New TUFIMS ID: | PSSWRD: | Completed: | Mailed: | ||||
| Mark the appropriate area(s) below: | New ID* (Part A; B if applicable) | ||
| Transfer (Part A; B if applicable) | Change Authorization for MTI Tables (Part B) | ||
| Change Transaction Capability (Part A) | Delete Processor ID | ||
| *New IDs Only - Training Verification: | |||
| SIGNATURE OF TRAINER | PRINT NAME | ||
| Part A - Transactions | ||||||||
| Transaction (or Security Group) |
Enter | Update |
Approvals |
Override
Level (if applicable) |
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| 1 | 2 | 3 | 4 | 5 | ||||
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Part B - MTI Tables |
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| Table/Security Group | ADD | CHANGE | DELETE | SCAN ONLY |
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| Department Manager: | |||
| Signature | Printed Name | Date | |
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Comments: |
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Individuals using information assets and computer resources owned by the UTHSCH will be held accountable for such use and are expected to familiarize themselves - and comply with - published UTHSCH and departmental security procedures and guidelines. Failure to comply with these policies, procedures and guidelines may result in disciplinary action up to and including termination of employment or contract and may constitute a basis of legal proceedings. I understand the provisions described in the Guidelines above, and accept personal responsibility for complying to them: |
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| Employee: | |||
| Signature | Printed Name | Date | |