Oklahoma State Treasury

Oklahoma State Treasury Online User Access Form

USER INFORMATION Action: Agency Number: Date Requested: User Name: User ID: Department: Phone Number: Fax Number: Email Address:

USER ACCESS FUNCTION ADD ACCESS? ADDITIONAL INFORMATION ACES If yes, please complete Attachment A PayCard Email address required Deposit Not Available at this Time Deposit Posting Report – Credit Card Email address required Deposit Posting Report – EFT Email address required Agency Users Listing Email address required AR Inquiry If yes, please complete Attachment B Month End Outstanding Warrant If yes, please complete Attachment H Agency Statements Activity If yes, please complete Attachment B Check Register Activity If yes, please complete Attachment F Image View Access If yes, please complete Attachment E EFT Participant Enrollment If yes, please complete Attachment G EFT Participant Maintenance Report If yes, please complete Attachment G EFT Bank Return Items If yes, please complete Attachment G EFT Exception Reporting Email address required

AGENCY APPROVAL CFO Name: Email Address:

Chief Financial Officer Signature Date IMPORTANT: If the CFO is one of the persons to have access, the Agency Head must sign this form.

PASSWORD RESET INFORMATION Challenge Question: Your Answer:

TREASURER’S OFFICE USE

Department Approval: Date:

Completed By I.S.: Effective Date