User Management Request Sample Contracts

ACTION REQUESTED
User Management Request • November 16th, 2006

RACF Code (check one)E - DHS Employee T - DHS Temporary (non contractual) C - Contractor* X - Subcontractor* S - DHS Student D - Data Sharing Agreement* Executive Staff Approved required to ADD a Contractor or Subcontractor user User's Last Name: First Name: M.I.: User I.D. Assigned: Work Location Name: Work Address (Street & City): Employee I.D. Job Function: Phone Number: Remarks: