Library User Access Request Form

Library User Access Request Form

Instructions: Please fill out this form completely. Employee must have City Network access prior to Polaris access being granted. Requesting Manager must sign. SCAN and EMAIL completed form to for processing.

Please Print All The Information Requested Clearly
Date
Access Type
(Please circle type) / New, Change, Temporary, Remove
Employee Full Name
Employee Email Address
Library Branch Location
Library Branch Change / Enter New Branch Name Here If Transferring Location or Requesting Temporary Access
Polaris Permission (Select the permission you wish to request)
Acquisitions Staff Permissions (For Acquisitions Staff)
Receiving (For Staff in Receiving Department)
Cataloging – Librarians (Staff in Cataloging department)
Cataloging - Office Assistants (OA’s in Cataloging department)
Circulation Permissions (All Public Service Staff)
Librarian
Library Associate
Library Manager
Office Assistant
Page
Serials (For Serials Staff)
Distribution List (Please specify the distribution list you would like to added or removed from)
Folder Access (Please specify the folder you would like to have access to)

Requesting Manager’s Approval

Manager’s Name (Print Clearly) / Phone
Manager’s Signature / Date

LIB-FRM-502 Page 1 of 1 4/13/2016

V.3