Online Banking System Request Form

MARICOPA COMMUNITY COLLEGES

Online Banking System Request Form

Employee Information

Employee Name: / Date:
College: / Department:
Employee Email: / Phone:
Job Title: / Manager Name:

Reason For Online Banking System Request

______
Has employee completed Cash Handling disclosure? ______(Y/N)
Does this access replace a current employee access? _____ No
If yes who? ______Should this person be removed from Online
Access? ____Yes _____No
Campus Bank Access Requested
Cash Vault ______Desktop Deposit ______Treasury Information Reporting ______
Campus Credit Card Access Requested
View Reports ______Process Transactions ______Issue Credits ______
Running Batches ______
USER MEID ______Store Number______

District Office Access Requested

ACH Deletes & Reversals Online ______Cash Vault ______Desktop Deposit ______

Image ______Stops Images Search ______Treasury Information Reporting ______

Third Party Administrators Access Requested

ARP Register Maintenance ______Event Messaging ______Safe Transmission ______

Stops Images Search ______Treasury Info Reporting ______Wire Transfer ______

Treasury Access Requested

ACH Deletes & Reversals Online ______ACH Fraud Filter ______ACH Inquiry ______

ARP Register Maintenance ______Cash Vault ______Desktop Deposit ______

Event Messaging ______Image ______Image Positive Pay ______

Item Detail Inquiry Service ______Safe Transmission ______Self-Administration ______

Statements and Notices ______Stops Images Search ______

Treasury Information Reporting ______Wire Transfer ______

Treasury Credit Card Access Requested

Basic Fraud Settings Access ______Admin Virtual Terminal Content ______

Admin Product Catalog ______Admin Receipt ______Admin Connect ______

Approvals

Employee Supervisor ______Date ______

Treasury Administrator ______Date ______