EPM 11 Granted Yes No Yes No Operational Data …

1 H:\ security \ security Form - Oracle & Hyperion Brio\Current\New Operational data security Form\Potential New Page 1 of 2 Rev. 01/22/2018 Operational data security Request Form I am requesting authorization to Operational data and will use the following software to access the data : Create New User Account Change Existing User Account Delete Existing User Account Microsoft Access EPM 11 Other _____User Information First Name Middle Name Last Name (please print) E-mail Address Institution Name Telephone Number Position data PRIVACY STATEMENT I understand that by virtue of my employment with Minnesota State Colleges & Universities, I am authorized to access and use individually identifiable information that is protected by state and federal privacy laws.

2 I acknowledge that I understand that I may be subject to discipline, up to and including termination, for the intentional unauthorized use or disclosure of this information. I further understand that I may be subject to legal action for the intentional misuse of Minnesota State Colleges & Universities records. Signature of User Date Explanation of Oracle Roles: H (High Access Grants Permission to Private data ) L (Low Access No access to Private data )Actions: Add = adds the specified right to the user ID. Delete = removes the specified right from the user ID. Module Oracle Role Action Academic Programs Add DelAccountability Dashboards IR L Add DelCarl Perkins data ST H Add DelCareer Service CS L Add DelCourse Term / Curriculum CT L Add DelCustomized Training CN L Add DelDARS ST L Add DelFor future use ?

3 ?? ? ? Add DelENS - Emergency Notification System ENS L Add DelFacilities FC L Add DelFinance AC L H Add DelFinancial Aid FA L H Add Del*Human ResourcesHR L H Add DelInstitutional ResearchIR H Add DelProspect/ApplicantPA L Add DelSecurity (ISRS User Rights)AC H Add DelFor future use??? ?? Add DelSTARIDSTAR L Add DelStudent data Private data accessST L H Add DelStudent Disabilities Private data accessSD H Add DelStudent HousingSH L H Add DelStudent PlacementSP L Add Del*see HR Module Authorizations on page 2*for future useInternal Use Only Username: data Granted Yes No Date: Initials: EPM 11 Granted Yes No Date: Initials: Listserv Granted Yes No Date: Initials: H:\ security \ security Form - Oracle & Hyperion Brio\Current\New Operational data security Form\Potential New Page 2 of 2 Rev.

4 01 /22/2018 Operational data security Request Form USER INFORMATION First Name Middle Name Last Name (please print) Date CAMPUS AUTHORIZATIONS By my signature below I verify that the above user has a business reason for the security profile requested: Immediate Supervisor (Please Print) Immediate Supervisor s Signature Date Authorized Signer (Please Print) Authorized Signature Date Authorized Signer (Please Print) Authorized Signature Date Authorized Signer (Please Print) Authorized Signature Date HR MODULE AUTHORIZATIONS By my signature below I verify that the above user has a business reason for the security profile requested.

5 Campus CHRO (Please Print) Campus CHRO Signature Date System Office HR Approval (Please print) HR Approval Signature Date To request access to additional data elements not included in the HR_L tables, a "Business Reason" statement must be included with this request form. The Business Reason should include descriptions of the campus applications used when accessing HR private data , which private data elements are needed, how the data will be secured, and who will be able to access the private data . Direct Business Reason statement questions to: Kathy Running HRIS Analyst, Human Resources Division Minnesota State Phone: (651) 201-1847 To submit this form, follow these instructions: into the Minnesota State IT Service Desk portal: https:\\ Click to login in the upper right corner of the screen Enter your StarID/password Press Enter or click Log Service Catalog select For Staff Under Accounts & Passwords Select RADS/ data Management (EPM11/REPL) Select Operational data security Form (Create/Change/Delete) Click the Paperclip icon to attach the scanned/completed and signed pdf form to the ticket.

6 In the field "Short Description" type " Operational data security ," complete remaining fields and click Submit. the steps above for each Operational data security request form. Do not combine multiple requests into one ticket. If you need assistance, please contact the IT Service Desk at (877) 466-6728