THE UNIVERSITY OF TEXAS AT EL PASO
APPROVAL TO DECRYPT DEVICE FOR TRAVEL ABROAD
This form is to be used for providing information when travel abroad with a University owned/leased device.
1. Travel Information:
Individual Traveling:
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Title:
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Department:
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Email:
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Phone:
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Travel Dates (Start):
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Travel Dates (End):
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List All Destination(s) Click here to enter text.
OR Provide Itinerary:
2. Device Information (List individually):
UTEP Tag#, MAC Device
Owning
Device Location
Is Device Being
Address, or SN
Host Name
Department
Building/Room #
Backed-up?
Click here to
Click here to
Click here to enter
Click here to enter
☐ Yes
enter text.
enter text.
text.
text.
☐ No
Click here to
Click here to
Click here to enter
Click here to enter
☐ Yes
enter text.
enter text.
text.
text.
☐ No
Instructions for retrieving the Host Name and other information may be found here:
•
Windows Host Name Look-Up •
Apple and Linux Host Name Look-Up
3. Authorization to Remove Equipment Off Campus:
Authorization Form Approved by Dean, Director, Chair?
Authorization Form Filed with Department?
☐
Yes
☐
No
☐
Yes
☐
No
4. Classification of Data on Device:
Does device contain Confidential, Research, or Other
If “Yes”; state level of classification?
Sensitive Information?
☐ Category I
☐ Category II
☐
Yes
☐
No
☐ Category III
☐ Other (Specify)
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For more information on Data Classification, please visit the following website:
 The University of Texas at El Paso Data Classification Standard
 UTEP Information Security Policies
5. Submitted By (Signature):
Date:
6. Approval to Remove Encryption from Device (Decrypt):
Gerard D. Cochrane,
Date:
Chief Information Security Officer:
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Re-Encrypted By:
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

ISO USE ONLY – REENCRYPTION COMPLETION
Encryption Validated By:
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☐
☐
Approved
Denied
Date:
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UT System Information Resources Use and Security Policy (UTS165)
Information Security Practice Bulletin #1: Encryption Practices for Storage of Confidential University
Data on Portable and Non-University Owned Computing Devices
Rev 05/2013