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ISRS USER ID MNSCU UNIFACE SYSTEM SECURITY REQUEST FORM

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ISRS USER ID MNSCU UNIFACE SYSTEM SECURITY REQUEST FORM
ISRS USER ID
MNSCU UNIFACE SYSTEM
SECURITY REQUEST FORM
This is an electronic PDF form. Type within the light blue fields and sign
with your signature. Submit to MNSCU for security authorization.
A User ID is required to use any of the ISRS Uniface system applications. Only one User ID per person will be assigned
except under special circumstances. Complete this form to request a new User ID, reactivate a suspended User ID, or delete
a User ID. Email the form to the MnSCU Security Office at the address listed on the bottom of this form.
Note: Use the ‘Delete’ action on this form when an employee changes institutions, terminates from MnSCU or no longer
requires access to the MnSCU information systems. This action will delete the User ID and all security groups for all MnSCU
information systems.
Action:
Request New User ID
Reactivate a Suspended User ID
Delete User ID__________________________ Effective Date for Deletion of User ID__________________
Reason for Delete:
Last Name (Please Type)
_____
_______First Name:
____Middle Initial:_______
Star ID:_________________________________
MnSCU Tech ID:
Check ONLY ONE Box:
(contact Human Resources at your institution for your eight digit Tech ID)
Institution/Campus employee
Shared employee (you are an employee of a different institution)
Student employee
Office of the Chancellor employee
Consultant
Auditor
Job Title:
Phone Number:
Institution:/Campus Location:
Fax Number:
E-Mail Address:
Supervisor’s Name:
Date:
Supervisor’s Email:
Supervisor’s Signature:
Phone Number:
Submit to:
MnSCU System Security Office
[email protected]
Rev. 06/10/2015
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