SAP User Access Request Form: New Change Delete

SAP Business Consulting Division
SAP User Access Request Form

Employees Department and Org Number (required)
Todays Date
Employee #:
New
_____________________
____________________
____________________
Change
/
/
Access
Request
for:
PDR(Production)
BW(PDB)
User-id:
Delete
Last Name:
First Name:
Position/ Function:
/
E-mail Address:
Effective Date: //
Expiration Date: // (BCD will enter date if temporary.)
SAP ROLES TO ADD OR DELETE
Add:
Delete:
Role:
Add:
Delete:
Role:
Add:
Delete:
Role:
Add:
Delete:
Role:
Add:
Delete:
Role:
Add:
Delete:
Role:
If this is a new SAP end user in this department/division, is this employee replacing another SAP End User?
No - Provide SAP License Request Justification.
Yes - Provide the following information on employee being replaced. All SAP Access for this employee will be removed.
Last Name:__________________________ First Name:___________________________ Employee #

Has the employee received training for each Role requested?
Yes
No
If not, temporary access (up to 90 days) may be granted if a trained end user takes responsibility for one-on-one training and supervision of all
transactions by the employee. End user must arrange for and pass a proficiency test prior to the expiration date for authorization of permanent
access.
Signature of authorized user that will train employee:

Employee No: _______________
Print Name:_________________________________
Date: ______________
ORG STRUCTURE POSITION ASSIGNMENTSBUSINESS SUPPORT SECTION ONLY

PERMITS
Permits
Permit Clerk
Waste Water WWC

7413 Manager
Support Services
7424 Employee
Billing
Billing and Records Manager
Meter Reading
Permit
WORKFLOWS List additional Org Structure positions/workflows:

_________________________ _________________________ _________________________
DEPARTMENT APPROVALS
As the Partner Stakeholder, with my signature below I attest that the roles requested for this employee have been examined for
compliance with Separation of Duties Policies.
The roles requested do not conflict with other SAP roles assigned to the employee.
A Request for Separation of Duties Waiver is attached.
Partner Stakeholder:
SMEs Signature:
_________________________________
_________________________________
EMPLOYEE AGREEMENT
Date: //
Date: //
I understand that the use of my personal SAP Security User-id for all actions performed will be acknowledged as my performance of those actions. I
will never use another persons SAP access under any circumstances. I will safeguard my access via a password enabled screen saver being
activated, or signing off the Network. I have read the COD Computer Security Agreement & I agree to abide by the requirements set forth therein. I
understand that disciplinary action, up to and including termination may be taken if I fail to abide by any of the requirements of this agreement.
Employees Signature ______________________________ Phone Number _________________ Date ___________

NOTE: User access will be terminated on accounts that are inactive for a period of 90 consecutive days.
SAP BUSINESS CONSULTING DIVISION APPROVALS

Business Support Approval: _________________________
Date: //
Training Team Approval:
_________________________
Date: //
Authorization to Change Access to Permanent:____________________________ Date: _____/_____/_____
DWU-FRM-002-SAP, Rev 1, Approved by Anil K Rao , Effectve April 19, 2016, Replaces Form 001-050220014
Page 1
SAP Business Consulting Division
SAP User Access Request Form Instructions

1.
2.
3.
4.
5.
6.
Employees must complete training and pass a proficiency test for each role for which access is requested prior to
receiving approval for SAP User Access.
Temporary access may be granted for up to 90 days, provided the end user is operating or using the system under the
guidance or supervision of an authorized user until the employee can complete training and pass the proficiency test.
Training can be one of the following:
a. Formal classroom training offered by the SAP Training Team (to be scheduled based on needs for any given
role)
b. Self study using on-line materials (under the guidance of a SME or an authorized user)
c. One-on-one training provided by a SME, a Business Consulting Division (BCD) Trainer, or an authorized
user.
Proficiency testing will be administered at the end of all formal classroom training sessions. The BCD Training Team
will provide testing for anyone completing training outside of the formal classroom environment. The employee is
responsible for contacting the Training Team at least two weeks before the access expiration date to schedule the
proficiency test. When the employee passes the proficiency test, the Training Team will authorize permanent access.
User Access Accounts that are inactive for a period of 90 consecutive days will be terminated without notice. If access
is needed after an account is terminated, the end user will need to resubmit an SAP User Access Request Form.
This form is to be completed by all Partner Stakeholders for users that request be added, changed or deleted to/from
the SAP system.
Forms with incomplete information and/or missing signatures will not be processed.
Step 1. Check the appropriate Action Box. New, Change or Delete
Step 2. Provide the Employee General Information:
Todays date
Employees Department and Org. Number and the system the access is being requested for (PDR Production or BW
PDB)
Employee Number and User ID
Employee Last Name, First Name, Position/Function and E-mail Address (The logon information will be submitted to
this e-mail address.)
Effective Date (Date employee will start using SAP) Leave Expiration Date blank
Step 3 Check the add/delete box & list the appropriate roles to be acted upon.
Step 4 If the request is for a new end user in the department/division, indicate if this end user is replacing another end user
who no longer needs SAP access. If an additional license is required, submit the SAP License Request Justification.
Step 5 If the employee has not received training for the requested role(s), enter the name and signature of the authorized
user that will supervise and/or train the employee.
Step 6 Obtain Department Approvals If the requested roles conflict with other roles assigned to the employee, attach the
Request for Separation of Duties Waiver.
Step 7 The employee must sign to verify they understand the Employee Security Agreement.
Step 8 Submit the completed form to the BCD Training Team. The Training Team will verify training or authorize
temporary access. The Training Team will consult with the Business Support Section to add the organizational structure to
link the id to the right CIC0 screen, the right Permit area (Permits, MRU, and Distribution) and workflows.
Step 9 The request will be submitted by the Training Team to the Help Desk and Security for processing. The Security
Administrator will enter the user into the appropriate SAP systems and notify the employee of their access id and password
via e-mail.
DWU-FRM-002-SAP, Rev 1, Approved by Anil K Rao , Effectve April 19, 2016, Replaces Form 001-050220014
Page 2

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SAP Business Consulting Division

SAP User Access Request Form

Last Name: First Name:_ Employee #

Signature of authorized user that will train employee:

ORG STRUCTURE POSITION ASSIGNMENTSBUSINESS SUPPORT SECTION ONLY

Waste Water WWC

WORKFLOWS List additional Org Structure positions/workflows:

Employees Signature ______________________ Phone Number _ Date ___

SAP BUSINESS CONSULTING DIVISION APPROVALS

SAP Business Consulting Division

SAP User Access Request Form Instructions

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