APPLICATION FOR BANNER HR ACCESS
Use this form to request access to the Banner Human Resource and Payroll system.
Applicant Responsibilities
1. Access is restricted to University employees performing official duties of their position.
2. Comply with the University’s policy on Responsible Use of Information Technology
(http://www.utoledo.edu/policy/index.asp?id=68).
3. Comply with the Family Education Rights and Privacy Act (FERPA)
(http://www.utoledo.edu/policy/index.asp?id=45). Please contact the Registrar’s Office for FERPA
related questions.
Instructions
1. Complete the Applicant Information section on page one below. Page two will be completed by the
Data Custodian.
2. Obtain supervisor approval.
3. Send completed form to Human Resources & Talent Development, MS 405.
Questions can be directed to Kelley Guldenpfennig: Kelley.Guldenpfennig@utoledo.edu
Applicant Information:
Name (Last, First, Middle Initial):
Title/Position:
College/Department:
Rocket ID:
UTAD ID:
Mail Stop:
Phone #:
Employment Status:
Access Requested:
Faculty
Staff
Graduate Assistant
Student Assistant
New – no current access
Remove Access
Add – additional access requested
Transfer – remove old and add new access
Module:
Human Resources and Payroll
E print Reports for HR/Payroll Module
Reason for access:
User Signature & Date:
(Signature indicates acceptance
of applicant responsibilities)
Supervisor Approval:
Print Name:
Title/Position:
Signature & Date:
Phone #:
APPLICATION FOR BANNER ACCESS
Form Version 1.3
Page 1 of 2
(Continued)
Applicant Information:
Name (Last, First, Middle Initial):
To be completed by Data Custodian – check all appropriate security classes:
Human Resources and Payroll Security Classes
Affiliate Entry
Benefits Analyst
Benefits Director
Benefits Specialist
Budget Office
EEO Affirmative Action Admin
EEO Affirmative Action Manager
Employment Comp Admin
Employment Comp Manager
Faculty HR Admin
*** Please see below
Faculty HR Manager *** Please see below
Faculty Labor Relations Admin
Faculty Labor Relations Manager
General Accounting Data Entry
Grants Accounting Analyst
Grants Accounting Manager
Grad Assist Admin
Grad Assist Manager
Health and Safety Admin
Benefits Inquiries
HR Front Desk
Health and Safety Manager
HR General Forms
HR General Inquiries
Office Maintenance
Payroll Analyst
Payroll Clerk
Payroll Clerical Specialist
Payroll Data Entry AP
Payroll Effort Certification
Payroll EPAF Admin
Payroll Fringe Detail Eprint
Payroll Front Desk
Payroll Manager
Payroll Officer
Payroll Setup Rules
See/Search SSN
Staff Labor Relations Admin
Staff Labor Relations Manager
Student Employment Admin
Student Employment Manager
Systems Analyst - HR
Human Resources Office (Data Custodian) approval:
Signature & Date:
Payroll Office (Data Custodian) approval (shaded areas) if applicable:
Signature & Date:
*** Faculty HR Admin & Faculty HR Manager classes are approved only by :
Brenda Grant MS 939 (Main Campus) ~ or ~ Bryan Pyles MS 1018 (Health Science)
Signature & Date:
To be completed by IT Security Administrator:
Signature & Date:
Form Version 1.3
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