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ACCESS / CHANGE APPLICATION
UCD PAYROLL/PERSONNEL SYSTEM (PPS)
PPS DECISION SUPPORT (DS)
Please type or legibly print the following highlighted information
NAME:
Please read INSTRUCTIONS at bottom of page.
EMPLOYEE ID:
HOME DEPT NAME & CODE:
CURRENT PPS ID:
EMAIL ADDRESS:
TELEPHONE:
JOB/WORKING TITLE:
CAMPUS UCD LOGIN
(Kerberos) ID:
Departmental Technical Support Contact (to coordinate resolution of any hardware/software issues that you might encounter.)
Name - department tech support contact:
Phone Number:
Email Address:
Home department code(s) requested for access to PPS DS: NOTE: If required extra spaces, please add attach sheet.
Required Personnel (EDB) Data:
YES:
NO:
PPS DS: Historical Expense Data – FY2007 to FY2010.
Web-based Open Provision Access:
YES:
NO:
Please briefly explain/justify the intended purpose of access. [For Expense Data FY2011 forward, Contact fishelp@ucdavis.edu.]
Access to the Payroll/Personnel System and Decision Support 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/data. 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 * * * * * *
By signing this form, I affirm that I have read the statement above and the UCD policies pertaining to confidentiality and protection of
data. I understand the penalties associated with misuse of access. I agree to use the Payroll/Personnel System Decision Support
access granted to me only for the completion of my assigned responsibilities, and will not disclose any personal or confidential
information obtained through this access. Additionally, I acknowledge that I am not authorized to share this account with anyone.
____________________________________________________
Signature of Person Requesting Access/Change
________________________________________
Date
***************************************************************************************
Please return completed application to: Scan and Email application request to paysys-support@ucdavis.edu, Attn: PPS DS Team
PPS DS 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.
UCDMC Employee – Send application to: PPS Access Coordinator, General Accounting, Ste 2700, Broadway Bldg, UCDMC Sacramento on request UCDMC Dept(s)
SOM Employee – Send application to: SOM Dean’s Office (PSSB/UCDMC), Attn: PPS Officer/Coordinator on request for SOM Department(s)
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By signing this form, I accept responsibility for the permission/change to access the Payroll/Personnel System Decision Support for
the individual identified above, and acknowledges 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 Decision Support 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, or MSO/CAO) (FOR UCDMC: Associate Director)
____________________________________________________
SIGNATURE of Person Authorizing Access/Change
________________________________________
Date
____________________________________________________
PRINT Name and Title of Authorizing Person (Additional, if applicable)
(Dean, Vice Chancellor, Chairperson, or MSO/CAO)
____________________________________________________
________________________________________
SIGNATURE of Person Authorizing Access/Change (if applicable) Date
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * *OFFICIAL USE ONLY* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
USERID
Access:
UNIVERSAL
ACCESS
FUNCTIONAL
UNIT(S)
DEPARTMENT(S)
ACCESS APPROVED/GRANTED
ADDITIONAL
RESTRICTIONS
DATE
Expense Data (Labor Distribution) from FY2011 forward: Please go to this website for information on KFS DS
Reports: http://accounting.ucdavis.edu/doc_Help/labor/salary_expense_transfer/getting_access.cfm. If you have further
questions on KFS DS Reports, contact the KFS Help Desk at fishelp@ucdavis.edu.
FOR PPS Officer/Coordinator - Official Use Only
PRINT Name of PPS Access Officer/Coordinator
Signature of PPS Access Officer/Coordinator
Please return completed application to: Scan and Email application request to paysys-support@ucdavis.edu, Attn: PPS DS Team
PPS DS 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.
UCDMC Employee – Send application to: PPS Access Coordinator, General Accounting, Ste 2700, Broadway Bldg, UCDMC Sacramento on request UCDMC Dept(s)
SOM Employee – Send application to: SOM Dean’s Office (PSSB/UCDMC), Attn: PPS Officer/Coordinator on request for SOM Department(s)