RMSS Management & Reporting - Systems Access Request Form

RMSS Management & Reporting - Systems Access Request Form

Please provide all relevant information

Requestor

Name Title

Last First Initial

HRMS ‘e’ number Mother’s maiden name US person (citizen or valid green card holder)? (circle one) Yes / No

SBU/Division Dept. Name Dept. Number

Phone Fax Mail Stop

Access requested

I request access to:

System Description

PIPS Lycoming propulsion field events & removals, APU field events & removals, ACE service bulletins

TRACE Aircraft system (mechanical) LRU removals, MTBUR

FREE Garrett propulsion field events, removals, reliability

For all reliability reports, please visit https://havrel.honeywell.com

For data questions contact Mike Sicz or Ed Kuzia

Security Profile

Please legibly describe type of access if you require more than just ‘query’. Some systems contain export controlled data so confirmation of US person status will be required. Please confirm such if you’re requesting access to export controlled information.

Disclaimer

CAUTION: The information contained in the M&R systems or databases is the property of Honeywell. Except for rights expressly granted by contract, the information may not, in whole or in part, be duplicated or disclosed without prior written permission of Honeywell. Some of the information contains references to specific customers; due to proprietary agreements the information must not be disclosed outside of Honeywell. All information is for reference purposes only and is NOT TO BE USED AS A MEASUREMENT OF CONTRACTUAL AGREEMENTS.

Authorization

Supervisor

As supervisor of the requester, I certify that access to M&R systems and data is needed in the performance of the requester’s job duties.

Name Signature

Dept. Number Phone

Requestor

I have read the above disclaimer and agree to keep data retrieved by any of the M&R systems confidential to Honeywell and follow proprietary info sharing policies. I also agree to inform all to which I pass the data of this disclaimer & disclosure requirements.

Signature Date

When complete, please scan & email to M&R0004.01

04/03/2013 10:53 AM