| Action Requested: New _________ (initial request for access) Change _________ (additional or change of access) Delete _________ (remove access) |
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| User Information: Name:______________________________________________Date:_____________________ Title:_______________________________________ Current User ID:_____________________ Department:_____________________________________ ID#:__________________________ Office Phone:_________________________________ E-mail:___________________________ |
Available Information:
Human Resource Use Only: Banner user ID assigned:___________________________________________________________ Date of Access granted/removed:_____________________________________________________ Data Custodian Signature:__________________________________________________________ |
Access Requested Section:
General Description of Available Information:
Employment-- Provides information on the employee's relationship to the university, the employee's job records, home and check organizations.
Biographic/Demographic-- Provides general person information, employee addresses, educational background.
Payroll-- Provides access to time entry and verification of paycheck.
Benefit Administration-- Not used at this time.
Position Management-- Not used at this time.
Budget-- Not used at this time.
Labor Distribution-- Provides access to labor information.
Access privileges are issued to staff members with the understanding that they will use this confidential information thus obtained only in the conduct of their official duties, and that no information will be disclosed to other persons. In addition, access to, and disclosure of, student information is governed by the FERPA. By requesting access to the Banner Human Resource System, staff members are accepting responsibility for knowing and complying with the FERPA.
I certify that I understand my responsibilities as an authorized user of the BANNER Human
Resource System.
Applicant Signature:________________________________________Date:________________
The Human Resource applicant's duties require access to the administrative computer system
and data. I understand that it is my responsibility to inform the Data Custodian of any change in this employee's status which affects BANNER Human Resource System access (e.g. termination of employment, leave of absence, change of job responsibilities or department).
Department Head/Manager Signature:______________________________ Date:_____________
Applicant Certification
Department Head/Manager Approval