Request for Banner Human Resources System Access Name E-mail Job Title Dept. Banner ID Phone # Staff Departmental Campus User roles requested: HR Admin HR Benefits HR Budget Office HR Budget Spreadsheet HR Employee Compensation HR Financial Systems HR General Person HR Manager HR Salary Admin HR Staff Development HR Super Inquiry HR Tax Acct HR Year End Payroll Check Reconcile Payroll Check Writer Payroll Processor Payroll Supervisor Payroll Office Use Only: PTRUSER Position # Faculty Functional User roles requested: GOAEACC Date PSAORGN Business Manager Leave Keepers Recap/Web Time Entry (Student & Temp Time Approvals) Smart/Move/Law Time Supervisor Orgs: Employee Type: (circle one) Required for LeaveKeepers & Web Time Entry Approver Proxy FYI Special User roles requested: HR Academic Affairs HR Effort HR General Person HR Parking Office Ecls: NTRRQUE Other: Information contained in university records, including but not limited to student, personnel, payroll, financial and alumni is confidential by law. Only an employee, that employee's supervisor(s) and authorized university personnel whose job responsibilities require use of that data may access such information. I will not use UNCW Computing resources or data for personal benefit. Also, I will not disclose university data or my USER ID/PASSWORD to any individual. I understand unauthorized access and/or release of this information is prohibited by law and may result in disciplinary action, including dismissal. Employee's Signature Date The DATA access requested above is necessary for this employee to perform official duties of his or her position. I will ensure when access is no longer needed I will notify ITS. Dept. Head's (or higher) Signature Date (Employee and Dept Head cannot be the same) Data Custodian Signature Date (Only needed for Special Circumstances) Security Manager Signature Date