SECTION 1: Applicant Information (Please Print)

RIAS Access Request Form

Instructions: Prior to access being granted, you must read and accept the ‘Agreement for Accessing University Information’. Please go to https://identityservices.rutgers.edu/agreement/ to accept this agreement. Complete section 1 through 3. Completed and signed forms should be forwarded to University Human Resources, Administrative Services Bldg II, Cook Campus, 57 US Highway 1 South or faxed to UHR at 732-932-0046. Please allow 5 days for processing of this request.

Name ______Title ______Org ID: ______

Unit ______Phone ______Employee Type: ______

Campus Address ______E-mail Address______NetID______

Position # ______(FOR HR USE ONLY)

SECTION 2: Type of Request New Access Update/Change Access Delete All Access Termination

RIAS Roles and Responsibilities: (Select one or more)

X RU_RIAS_Gateway (required for all RIAS users)

Internet Procurement & Approval Hierarchy:

Preparer Approver – Level 1 ($0 - $10,000) Approver – Level 2 (> $10,000)

PERSON TO WHOM YOU ARE REPORTING IN THE APPROVAL HIERARCHY:

Name:______Net ID______

Email Address:______Position #:______FOR HR USE ONLY

REQUIRED FOR ALL APPROVERS: Please indicate ‘A’ Add or ‘D’ Delete in box. Attach a list of org ids if additional space is required. The organization lookup table is available at http://uhr.rutgers.edu/rias

Org ID#: ______Org ID#: ______Org ID#: ______Org ID#: ______

RIAS Application Roles & Responsibilities:

RU GL Journals (Includes manual encumbrances) Delegated Buyer (ORSP) Internal Supplier

Last Updated Date: October, 2009 Financial Data Access (Financial DataWarehouse & REX*)

Select one or more data access option(s).

FDW Roles:

FIN: Purchasing, Payables & General Ledger Information

LPR: Payroll Distribution, Budget Status & Salary Savings Information

Please indicate ‘A’ Add or ‘D’ Delete in box. Attach a list of Extended Budget Responsibility Codes (EBRC) if additional space is required. *Access to any EBRC listed below will also apply to the REX system, if applicable. An additional form for departmental REX access is required. This form is available in the RIAS Forms Repository http://rias.rutgers.edu/formsrequirements.html

EBRC __ / __ __ / __ __/ __ __ / __ __ EBRC __ / __ __ / __ __/ __ __ / __ __ EBRC __ / __ __ / __ __/ __ __ / __ __

Specialized Roles (Requires a separate justification): ______

______ 

SECTION 3: Requestor Review and Approval: Prior to approving this request, please ensure the requestor has accepted the online access agreement at the URL on page 1. All requests for access must be reviewed and approved by the applicant’s Business Manager, if applicable and Department Chair, Director or the Associate/Instructional Dean. Authority to access specific administrative data must also come from the appropriate Business Process owners(s) responsible for the data.

______Requestor Signature Date

______Name of Business Manager (Please Print) , if applicable Signature of Business Manager Date

______Name of Applicant’s Dean, Director, or Dept Chair (Please Print) Signature of Applicant’s Dean, Director, or Dept Chair Date (Required)

SECTION 4: Business Process Owner Approval (To be completed only by individuals implementing access)

RIAS IP Approval/Implemented by: ______Date ______

FDW Approval ______Date ______

FDW Access Implemented by: ______Date ______

Last Updated Date: October, 2009