"Expense Management System (EMS) Access Request" - Delaware

Expense Management System (EMS) Access Request is a legal document that was released by the Delaware Department of Technology and Information - a government authority operating within Delaware.

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  • Released on May 22, 2018;
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Expense Management System (EMS) Access Request
(also known as Telephone Billing and Telecommunications Cost Management System)
Fax completed forms using Secure Mail to: DTI Fiscal Office at (302) 677-7060
Reset Form
Estimated access activation from date of receipt of completed form is 5 business days
(1) Requester Information
Request Type:
Add Logon
Delete Logon
Add Access to ID
Delete Access to ID
Update ID
First:
M.I.:
Last:
User’s Name:
SSN (
)
ACF2 Logon ID:
Employee ID
Last 4
(6 digit):
Phone:
Email Address:
Organization:
Select One:
Employee
Contractor
Vendor
Temporary
Casual Seasonal
Reason for Request:
Duration of Use:
(must specify dates):
Continuous
Temporary
Start Date:
End Date:
(2) Complete for Access to Work Order Module
Read Only
Read/Write
Access Type:
Order Entry Only
Order Approval Only
Authorization Level:
Order Entry and Approval
Define Scope of Access by Dept. ID (Department, Division, Section (DDS)), and any other restrictions:
Example:
Dept. ID Number(s)
Someone requesting access to all of Department 99, would enter 99-00-00
Dept. ID Number(s)
Dept. ID Number(s)
Those requesting access to Department 99, Division 99 would enter 99-99-00
Other
While 99-99-99 would be entered for access to Department 99, Division 99, and Section 99
(3) Complete for Access to Chargeback Detail Reports
Define Scope of Access by Dept. ID (Department, Division, Section (DDS)), and any other restrictions:
Dept. ID Number(s)
Example:
Dept. ID Number(s)
Someone requesting access to all of Department 99, would enter 99-00-00
Those requesting access to Department 99, Division 99 would enter 99-99-00
Dept. ID Number(s)
While 99-99-99 would be entered for access to Department 99, Division 99, and Section 99
Other
Print this form and complete the bottom portion manually.
Print Form
Authorization and Approval
(4)
I have read and signed the terms and conditions of the Acceptable Use Policy (AUP) and agree to abide by them.
User’s Signature:
Date:
If the services provided by the Department of Technology and Information are related to Federal programs, State Special funded programs, or programs
which are related to Federal programs, State special funded programs, or programs which are not directly funded by my agency's allocation, my agency
agrees to reimburse DTI for all services provide at the prevailing DTI rate.
I, the undersigned, agree to the above conditions.
ISO Phone:
Agency Information Security Officer (ISO) Name
Date Approved:
ISO Signature of Approval:
OPR: DTI/COA, OCM/dmk
P:\Forms\Expense Management System (EMS) Access Request
Updated: 05/22/2018
Expense Management System (EMS) Access Request
(also known as Telephone Billing and Telecommunications Cost Management System)
Fax completed forms using Secure Mail to: DTI Fiscal Office at (302) 677-7060
Reset Form
Estimated access activation from date of receipt of completed form is 5 business days
(1) Requester Information
Request Type:
Add Logon
Delete Logon
Add Access to ID
Delete Access to ID
Update ID
First:
M.I.:
Last:
User’s Name:
SSN (
)
ACF2 Logon ID:
Employee ID
Last 4
(6 digit):
Phone:
Email Address:
Organization:
Select One:
Employee
Contractor
Vendor
Temporary
Casual Seasonal
Reason for Request:
Duration of Use:
(must specify dates):
Continuous
Temporary
Start Date:
End Date:
(2) Complete for Access to Work Order Module
Read Only
Read/Write
Access Type:
Order Entry Only
Order Approval Only
Authorization Level:
Order Entry and Approval
Define Scope of Access by Dept. ID (Department, Division, Section (DDS)), and any other restrictions:
Example:
Dept. ID Number(s)
Someone requesting access to all of Department 99, would enter 99-00-00
Dept. ID Number(s)
Dept. ID Number(s)
Those requesting access to Department 99, Division 99 would enter 99-99-00
Other
While 99-99-99 would be entered for access to Department 99, Division 99, and Section 99
(3) Complete for Access to Chargeback Detail Reports
Define Scope of Access by Dept. ID (Department, Division, Section (DDS)), and any other restrictions:
Dept. ID Number(s)
Example:
Dept. ID Number(s)
Someone requesting access to all of Department 99, would enter 99-00-00
Those requesting access to Department 99, Division 99 would enter 99-99-00
Dept. ID Number(s)
While 99-99-99 would be entered for access to Department 99, Division 99, and Section 99
Other
Print this form and complete the bottom portion manually.
Print Form
Authorization and Approval
(4)
I have read and signed the terms and conditions of the Acceptable Use Policy (AUP) and agree to abide by them.
User’s Signature:
Date:
If the services provided by the Department of Technology and Information are related to Federal programs, State Special funded programs, or programs
which are related to Federal programs, State special funded programs, or programs which are not directly funded by my agency's allocation, my agency
agrees to reimburse DTI for all services provide at the prevailing DTI rate.
I, the undersigned, agree to the above conditions.
ISO Phone:
Agency Information Security Officer (ISO) Name
Date Approved:
ISO Signature of Approval:
OPR: DTI/COA, OCM/dmk
P:\Forms\Expense Management System (EMS) Access Request
Updated: 05/22/2018