Marist College
Intellecheck Access Request
EMPLOYEE PROFILE
Employee Name:
__________________________________
Date:
__________________________
Job Title:
__________________________________
Email:
__________________________
Location/Room:
__________________________________
Phone:
__________________________
CWID:
__________________________________
TYPE OF REQUEST
Create new Account:
Current Banner ID:
Modify an Account:
Banner ID:
________________________
Remove An Account:
Banner ID:
________________________
_______________________
Reason for Access:_____________________________________________________________________________________
ACCOUNT
Allow
Deny
Allow
Deny
Allow
Deny
BW (PR: Bi-Weekly):
SM (PR: Semi Monthly):
GL (AP: General Operating
SU (PR: Supplemental Payroll):
Account):
PR (AP: Payroll Operating
Account):
GLOBAL PERMISSIONS FOR EVERY ACCOUNT ALLOWED ABOVE
Allow
Deny
Process checks:
Reports:
Reprocess:
Positive pay:
Void/Unvoid Transactions):
Reconciliation:
Print Check File Copies Locally:
APPROVALS
Employee: I have read the Technology Acceptable Usage Agreement http://www.marist.edu/it/aup.html and agree to
abide by the policy outlined therein.
Employee
Date:
Signature:
Supervisor: I approve the access requested by the above employee. If the user of the above computing account leaves
the department, I will notify Information Technology so that the account can be removed.
Supervisor
Signature:
Date:
INFORMATION TECHNOLOGY SECURITY OFFICE USE
Implemented
By:
Notified By:
_______________________________________
Date:
_______________________________________
Date:
___________________________________
___________________________________