<p> DARDEN RESTAURANTS DATA SECURITY REQUEST FORM</p><p>Requestor: ______Date: ______Date Required: ______</p><p>Approval: ______Dept#: ______Extension: ______(Director or above) ______</p><p>Account Information</p><p>Name: ______Job Title: ______Extension: ______(Middle Initial Required)</p><p>Dept#: ______User ID: ______(New user completed by security dept.)</p><p>Check one: New User: ______Dept Transfer: ______Modify User: ______</p><p>Check Requested Access</p><p>SSL-VPN Access: _____</p><p>RANDSTAD EMPLOYEES: DATE OF BIRTH ______LAST FOUR DIGITS OF SS# _____</p><p>_____ E Mail _____ Franklin Machine Parts _____ Office Ordering – Office Supply _____ SteriTech Food Safety _____ Learn Something – RL Manager Certification _____ Synaptis PeopleSoft Train _____ Buntin Outdoor – RL Outdoor Advertise _____ TOG Merchandise _____ Directions Research Consumer Database _____ Total Quality Audit _____ RL Premium Merchandise – All RSC access _____ Service Mgmt Group _____ VIP Facilities Server _____ FM Pilot (Facilities Field) </p><p>______</p><p>Additional Approval Needed for Access</p><p>Hyperion: ______(Approved by Jeff Horn)</p><p>Restaurant Profile: ______(Approved by Beth Stute) RESTPROF Facility Server ______Restaurant DiSH Access from RSC (select access level and concept-additional concepts will need the concept approval)</p><p>ACCESS LEVEL: Manager ____ SVP ____ Director ____ HelpDesk ____ Super User ____</p><p>CONCEPT: RLUSA _____ RLCAN _____ OGUSA _____ OGCAN ______BB _____ EddieVs_____</p><p>SEASONS 52 ______LONGHORN_____ CAPITAL GRILLE ____ SPECIALTY REST._____ YH______</p><p>List Department Security Groups: ______</p><p>Additional Comments: ______</p><p>Business Intelligence (complete this page and Business Intelligence documents with approvals)</p><p>Oracle (complete this page and the Oracle document)</p><p>FAX to Kaye Rahberg (407 241 6262)</p>