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ACCESS / CHANGE APPLICATION

UCD PAYROLL/PERSONNEL SYSTEM (PPS)

PPS DATA WAREHOUSE (DW)

Please type or legibly print the following HIGHLIGHTED information

Please read INSTRUCTIONS at bottom of page.

NAME: / EMPLOYEE ID:
HOME DEPT NAME & CODE: / USER ID:
EMAIL ADDRESS: / TELEPHONE:
JOB/WORKING TITLE: / CAMPUS UCD LOGIN
(Kerberos) ID:
Technical Support Contact (to coordinate resolution of any hardware/software issues that you might encounter in using the data warehouse.)
Name(s) of your department’s technical support contact:
Technical contact’s phone number:
Technical contact’s email address:

Tables or Fields requested for access to PPS DW: (if you are not sure, leave blank)

Please briefly explain the intended purpose of access. PLEASE INCLUDE THE COMPUTER/SYSTEM USING THE ACCESS & IP.

Access to the Payroll/Personnel System Data Warehouse is granted for the performance of your assigned duties ONLY. Misuse or abuse of computer access privileges are serious matters which may constitute violations of the federal and/or state criminal statues, as well as violations of the California Information Practices Act and the Family Rights and Privacy Act of 1974. Employees with access to personal and confidential records shall take all necessary precautions to assure proper safeguards are established and followed to prevent unauthorized access and to protect the confidentiality of employee records. Employees may not disclose personal or confidential information concerning individuals to unauthorized persons or entities as specified by Personnel Policies, other Campus Policies and Collective Bargaining Agreements. Violations of relevant policies and law could result in penalties such as suspension, termination, fines, imprisonment, or other criminal penalties for acts, which constitute crimes. See the following UCD and UC policies set forth in the UC Policies Applying to Campus Activities, Organizations, and Students (1994): UCD P&PM 320-20 Privacy of and Access to Information; UCD P&PM 320-21 Disclosure of Information from Student Records; UCD P&PM 380-17 Improper Governmental Activities; UCD P&PM 310-22 UC Davis Cyber-safety Program; and UCD P&PM 310-75 Whole Disk Encryption * * * * * *

______

Signature of Person Requesting Access/Change Date

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

By signing this form, I accept responsibility for the permission/change to access the Payroll/Personnel System Data Warehouse for the individual identified above, and acknowledge that I am responsible for ensuring that such access is not misused. I also understand that it is my responsibility to take appropriate action to remove this person’s access if the individual’s responsibilities change, such that access to PPS Data Warehouse is no longer required for successful completion of duties of the position. NOTE: I also accept the responsibility if access requested outside of our jurisdiction, that permission was granted by an authorized person from that school, division, unit, or department.

______

PRINT Name and Title of Authorizing Person

(Dean, Vice Chancellor, Chairperson, MSO or Supervisor)

______

SIGNATURE of Person Authorizing Access/Change Date

______

PRINT Name and Title of Authorizing Person (Additional, if applicable)

(Dean, Vice Chancellor, Chairperson, MSO or Supervisor)

______

SIGNATURE of Person Authorizing Access/Change (if applicable) Date

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * *OFFICIAL USE ONLY* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

USERID

Access:

UNIVERSAL ACCESS / FUNCTIONAL UNIT(S) / DEPARTMENT(S) / ADDITIONAL RESTRICTIONS
ACCESS APPROVED/GRANTED /
DATE
FOR PPS Advisor Official Use Only
PRINT Name of PPS Access Officer/Coordinator / Signature of PPS Access Officer/Coordinator

Please return this application to: Scan and Email to: . PPS DW Form, 1 March 2014

Departments: Please have your PPS Officer/Coordinator [pps.ucdavis.edu/Contact/index.cfm] sign the second page before submitting to the PPS DS Team.

UCDHS Employee – Send your application to: PPS Access Coordinator, General Accounting, Suite 2700, Broadway Building, UCDMC Sacramento

SOM Employee – Send your application to: SOM Dean’s Office (PSSB/UCDMC), Attn: PPS Officer/Coordinator.