<p> RIAS Access Request Form</p><p>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.</p><p>SECTION 1: Applicant Information (Please Print)</p><p>Name ______Title ______Org ID: ______</p><p>Unit ______Phone ______Employee Type: ______</p><p>Campus Address ______E-mail Address______NetID______</p><p>Position # ______(FOR HR USE ONLY) </p><p>SECTION 2: Type of Request New Access Update/Change Access Delete All Access Termination</p><p>RIAS Roles and Responsibilities: (Select one or more)</p><p>X RU_RIAS_Gateway (required for all RIAS users)</p><p>Internet Procurement & Approval Hierarchy: </p><p>Preparer Approver – Level 1 ($0 - $10,000) Approver – Level 2 (> $10,000)</p><p>PERSON TO WHOM YOU ARE REPORTING IN THE APPROVAL HIERARCHY:</p><p>Name:______Net ID______</p><p>Email Address:______Position #:______FOR HR USE ONLY</p><p>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</p><p>Org ID#: ______Org ID#: ______Org ID#: ______Org ID#: ______ </p><p>Org ID#: ______Org ID#: ______Org ID#: ______Org ID#: ______ </p><p>Org ID#: ______Org ID#: ______Org ID#: ______Org ID#: ______ </p><p>RIAS Application Roles & Responsibilities: </p><p>RU GL Journals (Includes manual encumbrances) Delegated Buyer (ORSP) Internal Supplier </p><p>Last Updated Date: October, 2009 Financial Data Access (Financial DataWarehouse & REX*) </p><p>Select one or more data access option(s).</p><p>FDW Roles:</p><p>FIN: Purchasing, Payables & General Ledger Information </p><p>LPR: Payroll Distribution, Budget Status & Salary Savings Information </p><p>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</p><p>EBRC __ / __ __ / __ __/ __ __ / __ __ EBRC __ / __ __ / __ __/ __ __ / __ __ EBRC __ / __ __ / __ __/ __ __ / __ __ </p><p>EBRC __ / __ __ / __ __/ __ __ / __ __ EBRC __ / __ __ / __ __/ __ __ / __ __ EBRC __ / __ __ / __ __/ __ __ / __ __ </p><p>EBRC __ / __ __ / __ __/ __ __ / __ __ EBRC __ / __ __ / __ __/ __ __ / __ __ EBRC __ / __ __ / __ __/ __ __ / __ __ </p><p>Specialized Roles (Requires a separate justification): ______</p><p>______ </p><p>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.</p><p>______Requestor Signature Date</p><p>______Name of Business Manager (Please Print) , if applicable Signature of Business Manager Date</p><p>______Name of Applicant’s Dean, Director, or Dept Chair (Please Print) Signature of Applicant’s Dean, Director, or Dept Chair Date (Required)</p><p>SECTION 4: Business Process Owner Approval (To be completed only by individuals implementing access)</p><p>RIAS IP Approval/Implemented by: ______Date ______</p><p>FDW Approval ______Date ______</p><p>FDW Access Implemented by: ______Date ______</p><p>Last Updated Date: October, 2009</p>