Date: Agency:Action: SELECT… Leaving State Service?Control-D/Web Access? Current RACF ID (if applica

I/V/REmployee ID (EIN): Job Role 1 (Required) SELECT…Last Name: Job Role 1 (Optional) SELECT…First Name: Job Role 1 (Optional) SELECT…Middle Name: Job Role 1 (Optional) SELECT…Date Training Completed: Job Role 1 (Optional) SELECT…End Date (if applicable): Job Role 1 (Optional) SELECT…

From ToSELECT… SELECT… SELECT… SELECT…

From To

Level LocationSELECT… SELECT…

Level Location

Agency MAP Reports Agency Payroll ReportsAgency Talent Reports Benefit ReportsAgency HR ReportsDOC MAP Reports

Name: Name E-mail Address: E-mail AddressPhone Number: Phone Number

Name Name E-mail Address E-mail AddressPhone Number Phone Number

Request:

Security Class: Resource Manager:DSND: User Profile:Verified Training: Control-D/Web ID:HR09 (SSN access): ETE Rpt Dist Group:ZR02 (Time entry):

COMMENTS:

To

SECURITY LEVEL AND SECURITY LOCATION

Please e-mail completed forms to your Agency Security Administrator and they will route the form to hrishelpdesk@azdoa.gov. You will receive an email notification that a ticket has been created for your request.

Level

SELECT…

GENERAL INFORMATION

SELECT…SELECT…

Location

SELECT…

Location

JOB ROLE

SELECT…

Agency Security Request Form

EMPLOYEE

Security Officer Update Date: HRIS SECURITY CHECKLIST (please do not write below this line)

SELECT…

From

Supervisor/Manager Security Approver

To

SPECIAL REQUESTS / COMMENTS

SELECT…

AGENCY

HRIS Warehouse Request (Please Select)

Level

From

Security Administrator Employee

PROCESS LEVEL

PROCESS TO COMPLETE SECURITY REQUEST FORM

8. The Agency Security Administrator is responsible for notifying the appropriate agency personnel the request has been completed.

GENERALDate Enter the Date of Request

Action: Use the drop down arrow to select the desired action. Valid actions are: New User: Add a new HRIS user (no previous HRIS access). Add New Role to User: Add a new job role to an existing user.

Change Existing User: Modify security for an existing user. Include a description of the change in the comment section below. Reinstate/Rehire/Agency Transfer: Previous HRIS access that had been removed, or access with another agency Delete Job Role from User: Delete a job role from an existing user. Remove all HRIS Access: Remove an existing user's access to HRIS.

Leaving State Service Use the drop down arrow to select the appropriate response if the employee is or is not leaving the State of Arizona.

Control-D/Web Access Use the drop down arrow to select the appropriate response. The following job roles may have access to Reports in Control-D/Web:(formerly Broadcast) Agency HR Approver or Initiator

Agency PR Approver or Initiator

Current RACF ID (if applicable)

AGENCY INFORMATIONAgency ID Use the drop down arrow to select the Agency

EMPLOYEE INFORMATIONEmployee ID: Enter the user's five or six digit EIN (Employee Identification Number)Last Name: Enter the user's last name.First Name: Enter the user's first name.Middle Name: Enter the user's middle name.Date Training Completed: Enter the date the user completed the applicable HRIS training.End Date (If applicable): Use this if access is being removed at a future date.

6. If the request is incomplete or inaccurate, HRIS Security Administrator notifies the security administrator

Please read each section below as it will guide you on how to complete the Security Request Form

Agency Security Request Form - Instructions

If the user currently has a RACF ID, enter the ID here, otherwise leave blank. (A RACF ID is required to access the reports under Control-D/Web).

q y p q q p y p y g g y y e-mail request.

1. The Security Request Form is completed by the user's Supervisor or Manager.2. The Supervisor or Manager sends an e-mail to the Agency's Security Approver with the Security Request form attached to the email3. After review, the Security Approver forwards the e-mail to the Agency's Security Administrator at 4. After review, the Agency's Security Administrator forwards the e-mail to HRIS Security at hris-security@azdoa.gov .5. The HRIS Security Administrator evaluates the request.

JOB ROLE Use the drop down arrow to select the Job Role(s) depending on the type of request. Valid actions are:

New User: -Select all job roles the user should have access to.Add New Role to Existing User: -Select the job role(s) to be added.Change to Existing User: -Select the job role(s) to be changed.Delete Job Role from Existing User: -Select the job role(s) to be deleted.Remove all HRIS Access: -Not required

I/V/R For each job role, enter the type of access the user should be granted:

I = Input - denotes that user will have input access (includes V/R)V = View only - denotes that user will have view only accessR = Reports - allows users to generate on-demand reports

PROCESS LEVEL

From Use the drop down arrow to select the process level the user should have access to.

If the user should have access to a range of process levels, use the drop down arrow to select the first process level in the range.

If the desired process level is not listed, enter it in the Special Requests/Comments section below.

If the user should have access to only one process level, use the drop down arrow to select that process level. (The same process level will be in the From and To fields.)

To

If the user should have access to a range of process levels, use the drop down arrow to select the last process level in the range.

If a wrong process level is selected, use the drop down arrow to select the correct entry. If the field should be left blank, use the drop down arrow, scroll to the top of the list, and select the blank line.

Leave this section blank for the action 'Remove all HRIS Access'.SPECIAL REQUESTS OR COMMENTS

Enter any other special requests or comments as needed. If the request is to Change an Existing User's access, enter a brief description of the request here.

SUPERVISOR/MANAGERName Enter the name of the user's supervisor or manager.E-mail Enter the supervisor' or manager's e-mail address.Phone Number Enter the supervisor' or manager's phone number.

SECURITY APPROVERName Enter the Security Approver's name.E-mail Enter the Security Approver's e-mail address.Phone Number Enter the Security Approver's phone number.

SECURITY ADMINISTRATORName Enter the Security Administrator's name.E-mail Enter the Security Administrator's e-mail address.Phone Number Enter the Security Administrator's phone number.

JOB ROLESELECT…ADOA Central Benefits AdministratorADOA Central Benefits ApproverADOA Central Benefits InitiatorADOA Central Class and Comp AdministratorADOA Central HR Inter-Agency Transfer ProcessorADOA Central HR Reports ProcessorADOA Central HRD ManagerADOA Central Mailroom SpecialistADOA Central Password Reset ReviewerADOA Central Report Writer ProfessionalADOA Central Training CoordinatorADOA Central Training InstructorADOA Central Workers' Compensation SpecialistAgency Absence Management SpecialistAgency Absence Management Manual Adj ProcessorAgency Benefits InitiatorAgency Budget Analyst ProfessionalAgency Business AnalystAgency EE Reimbursement ApproverAgency EE Reimbursement SpecialistAgency HR/PR Tax InitiatorAgency Human Resources ApproverAgency Human Resources InitiatorAgency Labor DistributionAgency Non-System A Class and Comp AnalystAgency OSHA Specialist Agency Payroll ApproverAgency Payroll InitiatorAgency Phone/Email Maint SpecialistAgency Supervisor Code Maint SpecialistAgency TimekeeperAgency Training CoordinatorAgency Training InitiatorAgency Training InstructorAgency Transit Card ProcessorContractor Volunteer AdministratorDES ETE Account Information SpecialistEEO SpecialistETE Account Template SpecialistETE Batch MaintenanceETE Personnel CoordinatorETE Security AdministratorFederal Statistics & Census Report ProfFMLA CoordinatorGAO AFISGAO Central General Ledger AdministratorGAO Central General Ledger LiaisonGAO Central Payroll AdministratorGAO Central Payroll Issued Warrant ValidationHRIS Warehouse Reporting Specialist

Report Writer ProfessionalVehicle Template SpecialistMAP ProxyTalent HR Contact (Liaison)Talent Recruiter

AGENCY ACTION LEAVINGSELECT… SELECT… SELECT…AB - ACCOUNTANCY BOARD New user YesAC - BOXING COMMISSION Add new role to existing user NoAD - DEPARTMENT OF ADMINISTRATION Change existing userAE - RADIATION REGULATORY Reinstate/Rehire/Agency TransferAF - OFFICE OF EQUAL OPPORTUNITY Delete job role from existing userAG - ATTORNEY GENERAL Remove all HRIS accessAH - DEPARTMENT OF AGRICULTUREAM - COMMISSION OF AFRICAN-AMERICAN AFFAIRSAN - ACUPUNCTURE BOARD OF EXAMINERSAP - APPRAISAL BOARDAS - ARIZONA STATE UNIVERSITYAT - AUTOMOBILE THEFT AUTHORITYAU - AUDITOR GENERALBA - BOARD OF ATHLETIC TRAININGBB - BARBER EXAMINERS BOARDBD - BANKING DEPARTMENTBF - BOARD OF FINGERPRINTINGBH - BOARD OF BEHAVIORAL HEALTH EXAMINERSBN - STATE BOARD OF NURSINGBR - BOARD OF REGENTSCB - COSMETOLOGY BOARDCC - CORPORATION COMMISSIONCD - AZ EARLY CHILDHD DEV & HLTHCE - CHIROPRACTIC EXAMINERS BOARDCH - DEPARTMENT OF CHILD SAFETYCL - EXPOSITION AND STATE FAIR BOARDCM - COMMUNITY COLLEGE BOARDCN - CONSTABLE ETHICS STDS AND TRAINING BOARDCO - COURT OF APPEALSCR - COTTON RESEARCH & PROTECTION COUNCILCS - STATE BOARD FOR CHARTER SCHOOLSCT - COURT OF APPEALS DIV IIDC - DEPT OF CORRECTIONSDE - DEPARTMENT OF ECONOMIC SECURITYDF - COMM FOR THE DEAF & THE HARD OF HEARINGDI - DISEASE CONTROL RESEARCHDJ - AZ DEPARTMENT OF JUVENILE CORRECTIONSDO - DISPENSING OPTICIANS BOARDDT - DEPARTMENT OF TRANSPORTATIONDX - BOARD OF DENTAL EXAMINERSEB - BOARD OF EDUCATIONEC - CITIZENS CLEAN ELECTION COMMISSIONED - DEPARTMENT OF EDUCATIONEO - OFFICE OF ECONOMIC OPPORTUNITYEP - DEPARTMENT OF COMMERCEEQ - STATE BOARD OF EQUALIZATIONEV - DEPARTMENT OF ENVIRONMENTAL QUALITYFA - ARIZONA FINANCE AUTHORITYFD - FUNERAL DIRECTORS & EMBALMERSFO - STATE FORESTER

GF - GAME AND FISH DEPARTMENTGH - GOVERNOR'S OFFICE OF HIGHWAY SAFETYGM - ARIZONA DEPARTMENT OF GAMINGGS - GEOLOGICAL SURVEYGT - GOVERNMENT INFORMATION TECHNOLOGYGV - GOVERNORHC - AHCCCSHD - HOUSING DEVELOPMENTHE - HOMEOPATHIC MEDICAL EXAMINERSHG - OFFICE OF ADMINISTRATIVE HEARINGHI - HISTORICAL SOCIETYHL - HOMELAND SECURITYHO - HOUSE OF REPRESENTATIVESHS - DEPARTMENT OF HEALTH SERVICESHU - ARIZONA COMMISSION ON THE ARTSIA - INDIAN AFFAIRS COMMISSIONIB - OCCUPATIONAL SAFETY & HEALTHIC - INDUSTRIAL COMMISSIONID - INSURANCE DEPARTMENTJC - ARIZONA CRIMINAL JUSTICE COMMISSIONJL - JOINT LEGISATIVE BUDGET COMMITTEELA - DEPARTMENT OF LIBRARY & ARCHIVESLC - LEGISLATIVE COUNCILLD - LAND DEPARTMENTLL - LIQUOR LICENSES DEPARTMENTLO - LOTTERYLW - LAW ENFORCEMENT MERIT SYSTEMMA - EMERGENCY MANAGEMENT & MILITARY AFFAIRSME - ARIZONA MEDICAL BOARDMI - MINE INSPECTORMM - DEPT OF BLDG & FIRE SAFETYMN - MINES & MINERAL RESOURCESMT - BOARD OF MASSAGE THERAPYNA - NORTHERN ARIZONA UNIVERSITYNB - NATUROPATHIC BOARDNC - NURSING CARE EXAM BOARDNS - NAVIGABLE STREAMS AJUDICATIONOB - OPTOMETRY BOARDOS - OSTEOPATHIC EXAMINERS BOARDOT - OCCUPATIONAL THERAPY EX. BOARDPA - POWER AUTHORITYPB - PERSONNEL BOARDPD - ST CAP PST CONV PUB DEF OFFPE - ARIZONA COMMISSION FOR POSTSECONDARY EDPH - PRESCOTT HISTORICAL SOCIETYPI - PIONEERS' HOMEPM - PHARMACY BOARDPO - PODIATRY EXAMINERS BOARDPP - BOARD OF EXECUTIVE CLEMENCYPR - PARKS BOARDPS - DEPARTMENT OF PUBLIC SAFETYPT - PHYSICAL THERAPY EXAMINERS BOARD

PV - PRIVATE POST-SECONDARY EDUCATIONRB - BOARD OF RESPIRATORY CARE EXAMINERSRC - RACING DEPARTMENTRD - INDEPENDENT REDISTRICTING COMMISSIONRE - REAL ESTATE DEPARTMENTRG - REGISTRAR OF CONTRACTORSRS - PUBLIC SAFETY RETIREMENT SYSTEMRT - RETIREMENT SYSTEMRV - DEPARTMENT OF REVENUESB - STRUCTURAL PEST CONTROL BOARDSD - SCHOOL FOR THE DEAF & BLINDSF - SCHOOL FACILITIES BOARDSN - SENATESP - SUPREME COURTST - SECRETARY OF STATESY - PSYCHOLOGIST EXAMINERS BOARDTE - TECHNICAL REGISTRATION BOARDTO - OFFICE OF TOURISMTR - STATE TREASURERTX - TAX APPEALS BOARDUA - UNIVERSITY OF ARIZONAUL - UNIFORM STATE LAW COMMISSIONUO - RESIDENTIAL UTILITIES CONSUMER'S OFFICEVS - VETERAN'S SERVICEVT - VETERINARY MEDICAL EXAMINERS BOARDWC - WATER RESOURCESWF - WATER INFRASTRUCTURE FINANCE AUTHORITYWM - WEIGHTS & MEASURESYY - RETIREE ACCUMULATED SICK LEAVE

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