System Offices Employee Security Access Form

New Hire UIN *This question is required. This question requires a valid number format.

New Hire Net ID *This question is required.

University Email Address This question requires a valid email address.

Last Name *This question is required.

First Name *This question is required.

Middle Name (optional)

University Location *This question is required.

Building name and address

Ship to address (optional, e.g. 920401) This question requires a valid number format.

Status *This question is required.

Active or Start Date *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

Job Title *This question is required.

Department Name *This question is required.

Organization Code *This question is required. This question requires a valid number format.

Employee Type *This question is required.

Home Directory Path

$\ui.uillinois.eduobfshome etid)$

Enter the full name of the group e.g. UIC-TechSolutions-2FA

Please enter the application(s) the individual should be assigned to in TeamDynamix. e.g. "UIC - Tech Solutions" "UofI - Main" or "Projects"

Are there any Active Directory Groups you need access to?

Shared mailbox information *This question is required.

Mailbox Name *This question is required.

Email Address *This question is required.

Shared calendar information *This question is required.

Calendar Name *This question is required.

Finance User Access *This question is required.

Default finance profile ship to address (e.g. 920401) *This question is required.

Full Organization Code *This question is required. This question requires a valid number format.

Please list any user profiles you need access to.

Approver Info *This question is required.

Enter Chart-Org Code *This question is required.

Chrome River Access *This question is required.

Chart and Org Code *This question is required.

Select Role(s) *This question is required.

General User
Charge Code Reviewer
Charge Code Maintenance
Invoice Access

Name of Approver *This question is required.

UIN of Approver *This question is required. This question requires a valid number format.

List role(s), each on new line

List each on new line *This question is required. See AITS website for more information

Additional Requests

Requestor Information

Name *This question is required.

Email *This question is required.

Phone Number *This question is required.

New Hire's Manager Information

Name *This question is required.

UIN *This question is required. This question requires a valid number format.

System Offices Employee Security Access Form

Employee Information