SEI Security Access Request Date:
2/7/2012 4:58:45 PM
User Internal Use only
New Employee
SEI ID: _____________________
Intern/Temporary
ACS: ________________________
Employee Name:
Employee A Number:
Department:
Mail Code:
Request Type
Add New ID Access
Change Access
Delete Access
SEI access: List the profile (model), printer and posting location for user needing access or to change profiles
Profile:
Printer:
Posting Location:
Product: Functions
Conversation
Processing
Retrieval
Both
Additional SEI access:
Comments:
Authorization:
Manager’s Name:
Phone Number: