Effort Reporting System User Access Form

Instructions: Access Administrator completes Section A and the related Section as instructed in question 4 below. Add comments or additional information at the bottom of the form and click "Submit".
. Section A - All fields are required.
1. Access Administrator completing this form:
  First Name: :
  Dept Code:
  Email:
  Phone: Please enter in format (XXX-XXX-XXXX)
     
2. ERS User Access request is for the following employee (only one user per form):
  First Name:  
  Employee ID:
  Email:
     
3. Effort Report Coordinator for the department:
  First Name: Last Name:
  Email:

4. Type of Request (only one request per form)
Activate User - complete Section B to activate a user who is new to UCSF or new to the department; includes ERCs, Viewers, Reviewers, PIs and Self Certifiers
Deactivate User - complete Section C to deactivate a user who has separated, left the department, or no longer requires access to ERS; includes ERCs, Viewers, Reviewers, PIs and Self Certifiers
Modify User - complete Section D to modify a user's role; includes ERCs, Viewers, and Reviewers
Delegate Certification Authority - complete Section E to delegate authority to certify from one person to another; includes PIs and Self-Certifiers

 
. Section B - Activate User
   
       
   
     
       
       
       
       
         
   
   
         
   
         
  . Section C - Deactivate User
   
   
 
 

 
 
     
  . Section D - Modify User
               
       
           
       
       
       
       
       
       
               
     
               
 
 
 
 
               
. Section E - Delegate Certification Authority
               
 
 
               
 
   
               
 
   
               
 
 
   
   
   
   
               
 
   
   
   
   
               
 
               
 
 
   
 
. Comments
   
  Submit completed form
       
   
     
 

 

 

 

 

 

This page last updated on: Friday April 11 2008