"Invoice System Security Officer Request Form" - Oregon

Invoice System Security Officer Request Form is a legal document that was released by the Oregon Department of Administrative Services - a government authority operating within Oregon.

Form Details:

  • Released on March 24, 2018;
  • The latest edition currently provided by the Oregon Department of Administrative Services;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Oregon Department of Administrative Services.

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State of Oregon
Fleet & Parking Services
1100 Airport Rd SE
Web Invoice System
Salem, OR 97301-6082
503-373-7744
503-378-5813 fax
Security Officer Request Form
motor.billing@oregon.gov
https://www.oregon.gov/DAS/FleetPark
Please identify the person(s) in your agency who may authorize employee access to the Motor
Pool Invoice secure website.
Agency Security Officer Information
Name:
Agency Name:
Agency Number:
Mailing Address:
City:
Phone Number:
Email:
Signature:
Alternate Agency Security Officer Information
Name:
Agency Name:
Agency Number:
Mailing Address:
City:
Phone Number:
Email:
Signature:
Requests to add or delete individual user access to the Motor Pool Invoice secure website
must be sent from one of the above listed Security Officers to: motor.billing@oregon.gov.
U:\ADMN\Published\Forms\Invoice System Security Officer Request.docx
Revised 3/24/2018
State of Oregon
Fleet & Parking Services
1100 Airport Rd SE
Web Invoice System
Salem, OR 97301-6082
503-373-7744
503-378-5813 fax
Security Officer Request Form
motor.billing@oregon.gov
https://www.oregon.gov/DAS/FleetPark
Please identify the person(s) in your agency who may authorize employee access to the Motor
Pool Invoice secure website.
Agency Security Officer Information
Name:
Agency Name:
Agency Number:
Mailing Address:
City:
Phone Number:
Email:
Signature:
Alternate Agency Security Officer Information
Name:
Agency Name:
Agency Number:
Mailing Address:
City:
Phone Number:
Email:
Signature:
Requests to add or delete individual user access to the Motor Pool Invoice secure website
must be sent from one of the above listed Security Officers to: motor.billing@oregon.gov.
U:\ADMN\Published\Forms\Invoice System Security Officer Request.docx
Revised 3/24/2018