TUFIMS Processor Authorization Form

Fax to CSS Security 713.500.4850

 

Name:   Dept:  
SSN:   Bldg Code/Rm:  
Current TUFIMS ID:   Fax:  
Phone:   From:  
  

   ****Security Use Only****

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)
1 2 3 4 5
 

 
   
   
   
   

Part B - MTI Tables

Table/Security Group ADD CHANGE DELETE SCAN ONLY

 

 

 

 

  
Department Manager:      
  Signature Printed Name Date

Comments:

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:

Employee:      
  Signature Printed Name Date
  

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