Dept of Innovation and Technology
Mainframe Application Access Request Form Date:USER INFORMATION (All Fields Required)
Last Name/ First Name
/ Work Telephone
Agency/Bureau/Division
/ Work Location
Requested by / Approved by
TYPE OF CHANGE REQUESTED (Click on Box to check or uncheck)
New Mainframe ID TSO or IMS USERModification to Mainframe ID: Delete Existing Mainframe ID:
MAINFRAME APPLICATION INFORMATION (Click on Box to check or uncheck)
Add
/Delete
/Application
Selection /Add
/Delete
/Application
Selection
/Add
/Delete
/Application
Selection
Accounting Information System (AIS)* / Examining (PEERS)* / Small Business System Program*Accounts Receivable Posting System (ARPS)* / Flex Spending* / Upward Mobility *
Auto Liability System (ALS)* / Group Insurance Benefit System* / VMI (Nomad)
Business Enterprise Program (BEP) * / Group Insurance Payroll Tracking / Vehicles Billing System*
Central Inventory (CIS)* / Illinois Purchasing System (IPS/IGPS) * /
Workers Comp*
Central Payroll (CPS) * / Job Counseling* /Central Time & Attendance (CTAS) * / Personnel History* /
EELS Project (ELS)* / Recall Re-employment /
Mobius Report Access (Default Group Only)
NOTES:Dataset/Transaction PROFILE:
Access List/RACF or DB2 Authority:
Below For Department Use Only * Additional security form may be required
Please note that the IT Coordinator (or manager) will need to contact the application owner for access to the requested system. The RACF Coordinator assigns mainframe security (RACF) access only.
All questions concerning this form or applications named within should be directed to
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System: AHKCICS RACF id Assigned:
Date Completed: Completed by:
Mainframe Security Request Form-2016.doc Store completed forms in N:\Security Folder\RACF ACCESS REQ
Mainframe RACF Addendum – Contacts for application specific security
System Contact
AIS Depends on agency contact Phil Reuben
ARPS Ryan Zufall
ALS Tony Sample
BEP Carlos Gutierrez
CIS Depends on agency contact Bill Tumulty
Central Payroll Depends on agency contact Todd Lutz
CTAS Depends on agency contact Todd Lutz
ELS Jon McCormick
PEERS Jon McCormick
Flex Spending Grant Brauer
Group Insurance Benefit System Grant Brauer
Group Insurance Payroll Tracking Grant Brauer
IGPS IGPS Helpdesk
Job Counseling Jon McCormick
Personnel History Jon McCormick
Recall Re-employment Jon McCormick
Small Business System Program IGPS Helpdesk
Upward Mobility Jon McCormick
VMI (Nomad) Vicky Moffett
Vehicles Billing System Paula Ferrier
Workers Comp Tammy Wharton