expenditures. Agency Approver Information Name Telephone Number Email Address SIGNATURE Date Signed / / DCF Security Officer Signature SIGNATURE Date Signed / / Instructions Request Type From the drop down box, select the appropriate request type: new, change, employment ended or other. New – is for users that are new to the system and do not have any access. For changes, specify what is to be changed. Examples of changes are: a a request for additional access or to remove a access from an user’s name, telephone number, user’s application for which access is no longer needed. Section 1. ID Enter CORe ID, if known. Leave blank for new user request. – user’s Section 2. Enter STAR Supplier ID, if known. Leave blank if not known. Section 3. Enter Agency Name. Section 4. Enter Agency Address. Section 5. Enter the name. user’s Section 6. Enter email address. user’s Section 7. Enter work phone number. user’s Section 8. Action, select one from drop down: Activate Access, Inactivate Access. Section 9. Access to SPARC requires a WIEXT ID. Provide WIEXT ID. If user does not have a WIEXT the link is provided to set up an account and then enter the ID in section 9. Carefully read the Operator Security Acknowledgment before completing the signature block. signature and date The user must sign and date the form. Electronic signatures are acceptable. User’s – Agency Approver signature, date, telephone number and email address The agency approver must sign and date the form. – Also the agency telephone number and email address are required. Electronic signatures are acceptable. approver’s After completing the signatures, please attach to an email and send to State Security This is completed by DCF Security Officer after the form is received. The state security Officer’s signature– officer must sign and date the form. Electronic signatures are acceptable. User and Agency Approver will receive an email from DCF Finance Grants when access is granted.
expenditures. Agency Approver Information Name Telephone Number Email Address SIGNATURE / / Date Signed DCF Security Officer Signature SIGNATURE / / Date Signed Instructions Request Type – From the drop down box, select the appropriate request type: new, change, employment ended or other. New is for users that are new to the system and do not have any access. For changes, specify what is to be changed. Examples of changes are: a user’s name, telephone number, a request for additional access or to remove a user’s access from an application for which access is no longer needed. Section 1. ID – Enter user’s CORe ID, if known. Leave blank for new user request. Section 2. Enter STAR Supplier ID, if known. Leave blank if not known. Section 3. Enter Agency Name. Section 4. Enter Agency Address. Section 5. Enter the user’s name. Section 6. Enter user’s email address. Section 7. Enter user’s work phone number. Section 8. Action, select one from drop down: Activate Access, Inactivate Access. Section 9. Access to SPARC requires a WIEXT ID. Provide WIEXT ID. If user does not have a WIEXT the link is provided to set up an account and then enter the ID in section 9. Carefully read the Operator Security Acknowledgment before completing the signature block. User’s signature and date – The user must sign and date the form. Electronic signatures are acceptable. Agency Approver signature, date, telephone number and email address – The agency approver must sign and date the form. Also the agency approver’s telephone number and email address are required. Electronic signatures are acceptable. After completing the signatures, please attach to an email and send to State Security Officer’s signature– This is completed by DCF Security Officer after the form is received. The state security officer must sign and date the form. Electronic signatures are acceptable. User and Agency Approver will receive an email from DCF Finance Grants when access is granted.
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