Request for Administrative Mainframe LOGON ID and Related Services
LogonID P________________
PART 1 IDENTIFICATION INFORMATION
Check one:
New
Change/Add
Suspend
Delete
Name: ___________________________________________ Title: _________________________________
(Please print)
PennCard ID #:_________________________
University extension: _______- ___________
Department: _____________________________________
E-mail address: ____________@__________________
Intramural Address: _______________________________ Mail Code: __________________
As an individual whose position requires interaction with any or all of the University’s administrative information systems, I may be provided
with direct access to confidential and valuable data and/or use of data/voice systems. In the interest of maintaining the integrity of these
systems and of ensuring the security and proper use of University resources, I will maintain the confidentiality of my password for all systems
to which I have access. I will maintain in strictest confidence the data to which I have access. Any confidential information will not be shared in
any manner with others who are unauthorized to view such data. I will use my access to the University’s systems for the sole purpose of
conducting official business of the University. I understand that the use of these systems and their data for personal purposes is prohibited. I
understand that any abuse of access to the University’s systems and their data, any illegal use or copying of software, any misuse of the
University’s equipment may result in disciplinary action, loss of access to the University’s systems, and possible sanctions consistent with the
University Policy on Adherence to University Policy.
Signature of Requestor:________________________________________________
PART 2 STUDENT & MISCELLANEOUS APPLICATIONS
SAM (incl. CSN)*
_____________
_____________
SFSEASI (incl. CSN)*
______________
______________
Date: _____/_____/_____
PART 3 PROPERTY MANAGEMENT APPLICATION
PROPERTY (Please indicate either CNAC or ORG access)
CNAC(s) _______ _______ _______ _______
ORG(s): _______ _______ _______ _______
Approving Signatures
*Authorization required from Student Financial Services
Access Admin: _____________________________ Date: ________
Signature: ____________________________________
Financial Trainer: ___________________________ Date: ________
SRS – SRS Security Request Forms must be obtained from the
Office of Student Information & Systems. Completed
forms should be forwarded to the Registrar for approval
and access to the system.
PART 4 END-USER REPORTING ACCESS
TSO/ISPF
FOCUS*
NATURAL*
Additional authorization may be required
*Contact ISC Security Administrator for more information
PART 5 ORGANIZATIONAL APPROVAL
Cost Center Number: ____ ____ ____ ____ ____**
** (New requests must have the 5 digit Cost Center number for Data Center billing and Computer Account Administrator’s signature)
Computer Account Administrator:* _____________________ Signature: _________________________ Phone: ___________
(please print)
* Comp. Acct. Admin. is the person to receive the monthly bill
Email address: _________________@ __________________
Business Administrator: _____________________________ Signature: __________________________Date: _________
(please print)
PART 6 TO BE COMPLETED BY ISC/SEO SECURITY ADMINISTRATOR
SEND COMPLETED FORMS TO:
 Authorizations in order. Date received
 Authorizations incomplete. Return to sender/Date returned
IT Security Administrator
ISC/SEO
Suite 265C
3401 Walnut Street/6228
OPID __ __ __
FOR PAYROLL/PERSONNEL SYSTEM ACCESS, PLEASE COMPLETE SIDE 2
University of Pennsylvania
Information Systems & Computing
Request for Administrative Mainframe Logon ID and Related Services
Revised November 2005
PART 7 PAYROLL/PERSONNEL SYSTEM ACCESS
Access levels (if School/Center access is needed list CNAC, otherwise list only ORGS)
CNAC
_______
_______
_______
_______
_______
_______
_______
_______
_______
ORGS
__________
__________
__________
__________
__________
__________
____________
__________
__________
__________
__________
__________
__________
____________
Please check the box for each application you need to access
GENERAL PAYROLL ACCESS
Functions: (Update implies Inquiry)
Initial Personnel Action Data
Personnel Action Data
Job Assignment
Personal Data
Recent Job History
Time (Hours) Balances
Gross Dollar Balances
TRAN
CODE
UPDATE
*[Y/N]
001
003
004
005
015
025
026
[___]
INQUIRY
*[Y/N]
[___]
[___]
[___]
[___]
[___]
[___]
[___]
[___]
*Please indicate access with Y=yes or N=no
** WESD access will also be granted
ON-LINE TIME REPORTING ACCESS
Functions:
YES
Weekly
[___]
Monthly* [___]
NO
[___]
[___]
To view and update all weekly paid employees.
To view and update all monthly Late Pay and Reduction
in Pay transactions.
(Monthly transactions are held for processing until approval is granted via Approval Screen.)
Approvals* [___]
[___]
To view and approve all monthly Late Pay transactions.
* Note: The individual selected to approve monthly late pay transactions should not be the same individual
selected to process these transactions.
SALARY MANAGEMENT AND REALLOCATIONS ACCESS
(ACCESS WILL BE GRANTED TO BOTH SALARY MANAGEMENT AND REALLOCATIONS)
Network Printer ID: _______________ (required for printing reports)
* APPROVING SIGNATURES
Access Administrator:________________________________________
Date: _____________________________
Financial Trainer: ___________________________________________
Training Dates: _____________________
Payroll: ___________________________________________________
Date: _____________________________
Human Resources: __________________________________________
Date: _____________________________
*Requests will be returned if approving signatures have not been obtained
University of Pennsylvania
Information Systems & Computing
Request for Administrative Mainframe Logon ID and Related Services
Revised November 2005