Page 1 of 2

EFFORT REPORTING SYSTEM (ERS)

VIEW OR EDIT ACCESS REQUEST

Coordinators and other reviewers should use this form to request permissions to view and/orediteffort reports in ERS for which they monitor completion. Removal of permissions can be requested via e-mail to .

NAME: / EMPLOYEE ID:
HOME DEPT CODE: / DEPTNAME:
EMAIL ADDRESS: / KERBEROS ID: / TELEPHONE:
TITLE CODE: / JOB/WORKING TITLE:
NOTIFICATION E-MAIL ADDRESSES (Who should be notified when permissions are granted?):

Access requested for ERS:

Choose at least one access type: Choose only one data type:
ViewerAccount Org
Include Payroll DataInclude Subordinate Orgs
ERS CoordinatorPPS Home Department
Include Payroll DataChart-Account
Reviewer/Editor*Employee ID
Include Payroll Data
*edit permission requires explanation detailing how the requestor will know the correct effort percentages for the reports
Specify all instances of the data type requested, such as all Account Orgs, all PPS Home Departments, etc.:
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-EFGH
For help completing this form, refer to the following web pages: Effort Reporting Roles and ERS Security For additional help, contact .

Please briefly explain the intended purpose of access:

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.

SIGNATURE of Person Requesting AccessDate

By signing this form, I accept responsibility for 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 person’s access if the individual’s responsibilities change, such that access to Effort Reporting System is no longer required for successful completion of duties of the position.

PRINTNAMEof Direct SupervisorTitle

SIGNATUREof Direct SupervisorDate

When requesting access to reports in another department, a signature is also required from that department:

PRINT NAMEof Person Authorizing AccessTitle

SIGNATUREof Person Authorizing AccessDate

For EFA Office Use Only
EFA Review / Date Approved
Supervisor Approval / Date Approved
Change Completed / Date Access Granted/Change Completed

Return via: Fax: (530) 757-8721; E-mail: ;

Mail: Extramural Funds Accounting, 1441 Research Park Drive, Suite 170 Rev. 1/8/2010