ࡱ> y{x%` KmbjbjNN 0z,,{8 8 8 8 8 8 8  $$$8\ @a7 &":###$'4),`*P6R6R6R6R6R6R6$9hi;pv68 +$'$'++v68 8 ##47///+v8 #8 #P6/+P6//28 8 L2# $j$U,v24170a7 2,;,;L2L2;8 `2L*"+/2+F+***v6v6c/X***a7++++@@@$@@@$L $p  8 8 8 8 8 8  EFFORT REPORTING SYSTEM (ERS) VIEW OR EDIT ACCESS REQUEST Coordinators and other reviewers should use this form to request permissions to view and/or edit effort reports in ERS for which they monitor completion. Removal of permissions can be requested via e-mail to HYPERLINK "mailto:ERSHelp@ucdavis.edu"ERSHelp@ucdavis.edu. NAME:  FORMTEXT      EMPLOYEE ID:  FORMTEXT      HOME DEPT CODE:  FORMTEXT      DEPT NAME:  FORMTEXT      EMAIL ADDRESS:  FORMTEXT      KERBEROS ID:  FORMTEXT      TELEPHONE:  FORMTEXT      TITLE CODE:  FORMTEXT      JOB/WORKING TITLE:  FORMTEXT      NOTIFICATION E-MAIL ADDRESSES (Who should be notified when permissions are granted?):  FORMTEXT       Access requested for ERS: Choose at least one access type: Choose only one data type:  FORMCHECKBOX  Viewer  FORMCHECKBOX  Account Org  FORMCHECKBOX  Include Payroll Data  FORMCHECKBOX  Include Subordinate Orgs  FORMCHECKBOX  ERS Coordinator  FORMCHECKBOX  PPS Home Department  FORMCHECKBOX  Include Payroll Data  FORMCHECKBOX  Chart-Account  FORMCHECKBOX  Reviewer/Editor  FORMCHECKBOX  Employee ID  FORMCHECKBOX  Include Payroll Data Specify all instances of the data type requested, such as all Account Orgs, all PPS Home Departments, etc.:  FORMTEXT      EXAMPLE: Employee needs to review payroll for all employees paid on accounts with orgs 3-ABCD and 3-EFGH. Choose at least one access type: Viewer, Include Payroll Data Choose one data type: Account Org, Include Subordinate Orgs Specify all instances of the data type requested: 3-ABCD, 3-EFGHFor help completing this form, refer to the following web pages: Effort Reporting Roles HYPERLINK "http://accounting.ucdavis.edu/ers/roles.cfm"http://accounting.ucdavis.edu/ers/roles.cfm and ERS Security HYPERLINK "http://accounting.ucdavis.edu/ers/permissions.cfm"http://accounting.ucdavis.edu/ers/permissions.cfm; For additional help, contact HYPERLINK "mailto:ERSHelp@ucdavis.edu"ERSHelp@ucdavis.edu. Please briefly explain the intended purpose of access:  FORMTEXT       Please continue reading and complete the signatures on page 2. Access to the Effort Reporting System is granted for the performance of your assigned duties ONLY. Misuse or abuse of computer access privileges are serious matters which may constitute violations of the federal and/or state criminal statues, as well as violations of the California Information Practices Act and the Family Rights and Privacy Act of 1974. Employees with access to personal and confidential records shall take all necessary precautions to assure proper safeguards are established and followed to prevent unauthorized access and to protect the confidentiality of employee records. Employees may not disclose personal or confidential information concerning individuals to unauthorized persons or entities as specified by Personnel Policies, other Campus Policies and Collective Bargaining Agreements. Violations of relevant policies and law could result in penalties such as suspension, termination, fines, imprisonment, or other criminal penalties for acts, which constitute crimes. See the following UCD and UC policies: UC Policies Applying to Campus Activities, Organizations, and Students (1994); UCD P&PM 320-20 Privacy and Access to Information; UCD P&PM 320-21 Disclosure of Information from Student Records; and UCD P&PM 380-17, Improper Governmental Activities. By signing this form, I affirm that I have read the statement above and the UCD procedures pertaining to proper use of ERS and any associated payroll data contained within. I understand the risk associated with misuse of access. I agree to use the Effort Reporting System access granted to me only for the completion of my assigned responsibilities, and will not disclose any personal or confidential information obtained through this access. Additionally, I acknowledge that I am not authorized to share this access with anyone.  FORMTEXT       SIGNATURE of Person Requesting Access Date By signing this form, I accept responsibility for+:c{ 2 3 F G I J K ijĢĢijkZkGk$h{h>0JCJOJQJ^JaJ h{hY CJOJQJ^JaJ)jh{hY CJOJQJU^JaJ h{h>CJOJQJ^JaJ h{hCJOJQJ^JaJ h{hVCJOJQJ^JaJ h{hVCJOJQJ^JaJ h{hECJOJQJ^JaJh{h 5OJQJ^Jh{hE5OJQJ^Jh{h0T5OJQJ^J:K M U  * R T R|kd$$Ifl0Ll) j0*644 layt=U< $Ifgd0T $a$gdEgdu $a$gd $a$gd0T MlJmK L M Q U V ` a  * , @ B D N P T v ʹ{dʤLd/jth{hTmCJOJQJU^JaJ,jh{hTmCJU^JaJmHnHu/jh{hTmCJOJQJU^JaJ h{hTmCJOJQJ^JaJ)jh{hTmCJOJQJU^JaJ h{h0TCJOJQJ^JaJ&h{h0T5CJOJQJ\^JaJ h<{hVCJOJQJ^JaJ h<{hVCJOJQJ^JaJT v  * H p w|kdk$$Ifl0L\ )z0*644 layt=U< $Ifgd0T v x  Ӹy^yJ9 h{h=U<CJOJQJ^JaJ&h{h=U<5CJOJQJ\^JaJ5jh{hTm5CJOJQJU\^JaJ h{h0TCJOJQJ^JaJ&h{h0T5CJOJQJ\^JaJ2jh{hTm5CJU\^JaJmHnHu5jh{hTm5CJOJQJU\^JaJ&h{hTm5CJOJQJ\^JaJ/jh{hTm5CJOJQJU\^JaJ     & ( * B H J ^ ` b l n p ꙅmꙅUꙅ/jh{hTmCJOJQJU^JaJ/jzh{hTmCJOJQJU^JaJ&h{h=U<5CJOJQJ\^JaJ h{h=U<CJOJQJ^JaJ,jh{hTmCJU^JaJmHnHu/jh{hTmCJOJQJU^JaJ h{hTmCJOJQJ^JaJ)jh{hTmCJOJQJU^JaJ H odddd $Ifgd0Tkdb$$IflFL\ l)j0*6    44 laytzs'  " 6 8 : D F J һҪ҅mһҪYD3 h{h-;CJOJQJ^JaJ)jh{h-;CJOJQJU^JaJ&h{h-;5CJOJQJ\^JaJ/jyh{hTmCJOJQJU^JaJ h{hTmCJOJQJ^JaJ&h{h=U<5CJOJQJ\^JaJ h{h=U<CJOJQJ^JaJ,jh{hTmCJU^JaJmHnHu)jh{hTmCJOJQJU^JaJ/jh{hTmCJOJQJU^JaJH J  ww $Ifgd0T|kd$$Ifl0L\ )z0*644 laytzs'      " V X f ~ һҧq_M;)#h{h(5CJOJQJ^JaJ#h{h 5CJOJQJ^JaJ#h{h=U<5CJOJQJ^JaJ#h{hN{5CJOJQJ^JaJ&h{h0T5CJOJQJ\^JaJ h{h0TCJOJQJ^JaJ h{h-;CJOJQJ^JaJ&h{h-;5CJOJQJ\^JaJ,jh{h-;CJU^JaJmHnHu)jh{h-;CJOJQJU^JaJ/jh{h-;CJOJQJU^JaJ  " V X )|{{{d{ BV$If^V`gdvV$If^V`gdvgd0Tikd$$IflL)*0*644 laytdr    (*+9:;<PQR`޷}}e}޷M}޷/joh{h:DCJOJQJU^JaJ/jh{h:DCJOJQJU^JaJ h{hTmCJOJQJ^JaJ/jh{h:DCJOJQJU^JaJ h{h:DCJOJQJ^JaJ)jh{h:DCJOJQJU^JaJ#h{hA5CJOJQJ^JaJ h{hACJOJQJ^JaJ h{h(CJOJQJ^JaJ`abc{|}v^F/jG h{h:DCJOJQJU^JaJ/j h{h:DCJOJQJU^JaJ h{h`VCJOJQJ^JaJ/j[ h{h:DCJOJQJU^JaJ h{hACJOJQJ^JaJ h{hTmCJOJQJ^JaJ h{h:DCJOJQJ^JaJ)jh{h:DCJOJQJU^JaJ/jh{h:DCJOJQJU^JaJ !"12367Ẹ̴zhNzh@R\۽xkWF5 h<{h CJOJQJ^JaJ h<{h0TCJOJQJ^JaJ&h<{h5>*CJOJQJ^JaJh<{h OJQJ^J$jh<{h[eU^JmHnHu'jh<{hpOJQJU^Jh<{h[eOJQJ^J!jh<{h[eOJQJU^Jh<{hTmOJQJ^J h<{h*PCJOJQJ^JaJ#h<{h0T5CJOJQJ^JaJ#h<{hV5CJOJQJ^JaJTUUUUUV V VVV2V4V6V@VBVDV˸zcKc: h<{hVCJOJQJ^JaJ/jzh<{hTmCJOJQJU^JaJ,jh<{hTmCJU^JaJmHnHu/jh<{hTmCJOJQJU^JaJ h<{hTmCJOJQJ^JaJ)jh<{hTmCJOJQJU^JaJ h<{h0TCJOJQJ^JaJU#h<{h0T5CJOJQJ^JaJ#h<{h 5CJOJQJ^JaJ h<{h>CJOJQJ^JaJ@UUDVVVV.W0WX XhXXXYbYdYfYgdT  !gdqgdq&dPgdq  !gd0Tgd0T&dPgdVgd0T the permission/change to access the Effort Reporting System for the individual identified above, and acknowledge that I am responsible for ensuring that such access is not misused. I also understand that it is my responsibility to take appropriate action to remove this persons access if the individuals responsibilities change, such that access to Effort Reporting System is no longer required for successful completion of duties of the position.  FORMTEXT        FORMTEXT       PRINT NAME of Direct Supervisor Title  FORMTEXT       SIGNATURE of Direct Supervisor Date When requesting access to reports in another department, a signature is also required from that department:  FORMTEXT        FORMTEXT       PRINT NAME of Person Authorizing Access Title  FORMTEXT       SIGNATURE of Person Authorizing Access Date For EFA Office Use Only EFA ReviewDate Approved Supervisor ApprovaDVNVPVRVXVZV^VVVVVVVVVVɸqZq@Z(/jh<{hTm5CJU^JaJmHnHu2jh<{hTm5CJOJQJU^JaJ,jh<{hTm5CJOJQJU^JaJ#h<{hTm5CJOJQJ^JaJ h<{hTCJOJQJ^JaJ#h<{hE5CJOJQJ^JaJ#h<{h0T5CJOJQJ^JaJ h<{h0TCJOJQJ^JaJ#h<{h>*CJOJQJ^JaJ#h<{hT>*CJOJQJ^JaJ#h<{h0T>*CJOJQJ^JaJVVVVVVVWW$W.WWWWXű}kYH7H& h<{h,CJOJQJ^JaJ h<{h>CJOJQJ^JaJ h<{hqCJOJQJ^JaJ#h<{h 5CJOJQJ^JaJ#h<{hE5CJOJQJ^JaJ h<{hECJOJQJ^JaJ h<{h0TCJOJQJ^JaJ#h<{h0T5CJOJQJ^JaJ&h<{h0T5>*CJOJQJ^JaJ#h<{hV5CJOJQJ^JaJ#h<{hTm5CJOJQJ^JaJ,jh<{hTm5CJOJQJU^JaJX X X X"X$X.X0X@XBXVXXXZXdXfXhX|X~XXXXXXɱښɂښp^L^:#h<{hTm5CJOJQJ^JaJ#h<{h,5CJOJQJ^JaJ#h<{hq5CJOJQJ^JaJ#h<{hq>*CJOJQJ^JaJ/jh<{hTmCJOJQJU^JaJ,jh<{hTmCJU^JaJmHnHu/jfh<{hTmCJOJQJU^JaJ h<{hTmCJOJQJ^JaJ)jh<{hTmCJOJQJU^JaJ h<{hqCJOJQJ^JaJXXXXXYYYYYYPYRY`YbYdYfY׽n]nK=, h<{hM,CJOJQJ^JaJhECJOJQJ^JaJ#h<{h0T5CJOJQJ^JaJ h<{h,CJOJQJ^JaJ h<{hqCJOJQJ^JaJ&h<{hq5>*CJOJQJ^JaJ#h<{hq5CJOJQJ^JaJ/jh<{hTm5CJU^JaJmHnHu2jRh<{hTm5CJOJQJU^JaJ#h<{hTm5CJOJQJ^JaJ,jh<{hTm5CJOJQJU^JaJfYYYYYYsss  !$Ifgd0Tlkd$$Ifl|)) t0644 laytJH-$ !$Ifa$gd0TfYYYYYYYYYYYYYZllllllll$l1l9lKlMlNlOlPlQlRlSlTlUlVlϾϾ{ϭjb^Zb^Zb^Zh}hE-BjhE-BU h<{hCJOJQJ^JaJ h<{hCJOJQJ^JaJUh<{hOJQJ^J#h<{h5CJOJQJ^JaJ h<{hqkCJOJQJ^JaJ h<{hCJOJQJ^JaJ h<{h0TCJOJQJ^JaJh<{h0TOJQJ^J#h<{h0T5CJOJQJ^JaJ#YYYYse  !$Ifgd0T  !$Ifgdqk}kdN$$Ifl0|) t0644 laythYYYYYsss  !$Ifgd0T}kd$$Ifl0|) t0644 laythYYllss  !$Ifgd0T}kd~$$Ifl0|) t0644 laythlDate Approved Change CompletedDate Access Granted/Change Completed     Page  PAGE 1 of  NUMPAGES 2 Return via: Fax: (530) 757-8721; 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