Faculty Information System Access Request Form

This form is required for all users needing access to faculty data directly from the Faculty Information System (FIS).

If you need to request delegation/impersonation access, please contact fisaccess@case.edu.

Email *

It is important that users follow and understand the Confidentiality policy regarding access to confidential information outlined by Human Resources.

It is expected that users will become familiar with the University’s Acceptable Use of Computing and Information Technology Resources policy and be responsible for keeping passwords secret and that they will not use anyone else’s password to access faculty information.

It is also expected that users will abide by the Data Standards and Duplicate Record Prevention Policy.

The checkbox below signifies that I fully understand and agree to comply with the above policies as well as the Faculty Information System Confidentiality Agreement.

*
Required
Requester Name *
Requester CWRU ID *
Requester Department *
Supervisor Name *
Supervisor CWRU ID *
Supervisor Department *
Access Request: I am requesting access to VIEW the following faculty record information: *
Required
Access Request: I am requesting access to EDIT the following faculty record information: *
Required
Access Request: I am requesting access to the following actions/features in FIS: *
Required
If you need access to specific reports (appointment or activity), please list here. See here for existing reports.
Business Reason: Please indicate the reason the requested access is necessary for your job function. *
College/School: Please indicate the college/school to which you need access. Check all that apply. *
Required
Department: Please indicate the department(s) to which you need access. (If school does not have departments, list N/A.) *
Division (School of Medicine only): Please indicate the division(s) to which you need access.
Location (School of Medicine only): Please indicate the location(s) to which you need access.
Training: Please indicate who will train you on how to appropriately use the system. Select the individual from your college/school below. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Case Western Reserve University.

Does this form look suspicious? Report