User Information															

1.  Date:		
     		
2.  Cabinet/Agency:				
     							

3.  DIS Billing Number:						
     								

4.  Agency/Security Contact Name:						
     				
5.  Signature:				

6.  Action:		
		
Change		
7.  User ID:			
     						

		
Delete		
 (check one)		
New ID  		
Existing ID 				

		
Add		
8.  User Name:			
     						

		
		
  Phone:		
     							

		
		
  Location:		
     							

		

     							

All items must be completed or form will be returned to requesting agency.															
Mainframe Request Information															
Access Requested (Check all that apply)															

TSO:		
		
Yes  		
No  		

		
JCL		
Yes  		
No  		
(Yes) Allows User ID to submit jobs/(No) User ID cannot							

MOUNT		
Yes  		
No  		
(Yes) Allows User ID to mount tapes/(No) Will not allow 							

SDSF		
Yes  		
No  		
(Yes) Allows User ID to display status of batch jobs							

		
		
		(No) User ID cannot display status of batch jobs							

Group(s):		
				
Default group plus any other groups to which User ID is connected 									

Group Authority:			
Use  Create  			
(Use) allows ID to read data only  (Create) allows ID to create Datasets (User ID & Group Prefix)									

CICS:		
		
Yes  		
No  		

IMS:		
		
Yes  		
No  		

KyNET:		
		
Yes  		
No  		
For KyNET list applications:							

HoBOS:		
		
Yes  		
No  		
     							

Remote Access Request Information	

	Basic (Non Dedicated IP Address)							
	
	Enhanced (Dedicated IP Address)						

	To Be Completed By Security and Recovery Services Branch															

Completed by:				
				
Date Completed: