PeopleSoft User Request Form Instruction: Please complete sections A through E below. Only one request can be made per submission. If you have any comments, please use the comment section. A: Access Administrator (all fields required) First Name: Last Name: Dept Code: Email: Phone: (Format: XXX-XXX-XXXX) B: User ID (all fields required) First Name: Last Name: Employee ID: Dept Code: Email: C: Type of request actions (CHOOSE ONE - Activate, De-activate or Modify User ID) Activate User ID - for new employee and/or user Transfer-In from another Dept Code WebLinks ID: (If available. Required for Journal Preparers.) Journal P2P RAS De-activate User ID - for separation and/or user Transfer-Out to another Dept Code Modify User ID - for modification to existing users Modify User ID: (WebLinks ID required for Journal Preparers.) Journal P2P RAS Activate User ID - for new employee or user Transfer-In from another Dept Code Journals Date Online Training Completed: please enter as MMDDYYYY Preparer Both Approver Other If Functional Role is either Preparer or Both, then: Approver PS User ID: Approver Dept Code: Approver First Name: Approver Last Name: If the Functional Role is Approver or Both, enter the preparer(s) user id(s) the approver will be approving. P2P (Select role(s). The required training will be checked automatically. Enter the training date for the required training.) Role Requester Default Approver Department Buyer Self Approving Requester Proxy Approver Viewer Reviewer Adhoc Approver Receiver Online Training: Please enter the training date (MMDDYYYY)for the required training. Training Date (MMDDYYYY) Training Date (MMDDYYYY) Training Date (MMDDYYYY) Requesting Default Approving AdHoc Approving Receiving Managing POs Proxy Approving Enter the required information : Department Code: Ship to Location : Default Approver User ID or Name: Default Dept Buyer User ID or Name: Backup Dept Buyer (optional) User ID or Name Associate Buyer Delegation : Research Administration System Department - RSA EMF - Set Up/Billing Specialist OSR Analyst EMF - Cash Manager UCSF Central Office User (e.g. Audit, Budget) Date Online Training Completed: please enter as MMDDYYYY If Functional Role is "Department - RSA", then enter Access Dept Codes: De-activate User ID - for separation or user Transfer-Out to another Dept Code User ID to deactivate: Effective date please enter as MMDDYYYY Journals: If Functional Role is either Approver or Both, then: Replacement Approver User ID: Replacement First Name: