Semi-annual recertification occurs for HLAS and PLSA users ...
|Shared Accounting Module (SAM) |
|User Authorization Form |
The User listed is designated to perform the Role and Organization(s) responsibilities in the Shared Accounting Module (SAM) in accordance with the SAM Security Matrix.
|Section 1 – General Information |
| |
|Create New User |
| |
| |
|Modify User Information (only applies to role, last name, e-mail address, phone number and/or address) |
| |
| |
|Delete User |
|Add |Remove |Role ** PLEASE SELECT ONLY ONE ROLE PER FORM** |
| | | |
| | |High Level Agency Support |
| | | |
| | |Central Business Administration Function (Restricted to FRB users only.) |
| | | |
| | |Technical Support (Restricted to FRB users only.) |
| | | |
| | |Data Download (Access to the SAM Home Page and the ability to download lists of Agency Location Codes.) |
| | | |
| | |FMS Viewer (View-only access of Access Group Default Rules and Business reports.) |
| | | |
|Section 2 – Agency Location Code and Organization Information |
|Specific to this request form, all of the roles above are provisioned at the “All ALCs” level. |
|The roles of HLAS and CBAF are assigned the TWAI Organizations of “Federal Agency” and “Federal Reserve Bank”. |
|Section 3 – User Profile |
| | |
|TWAI User ID If applicable (e.g. ITIM ID, Enterprise ID) | |
|User’s Name (Full name) | |
|User’s E-mail Address (Not shared) | |
|*Please ensure accuracy – email address is the unique | |
|identifier of a user | |
|Phone Number (Direct number to user) | |
|Street Address (User location) | |
|Street Address Line 2 (User location) | |
|City / State / Zip (User location) | |
|User Activation Date (Please check one) | Effective Immediately Future Effective Date ____/____/______ |
|Section 4 – Authorized Signature By signing below, the individual certifies that he/she is duly authorized by the organization to designate individuals who can |
|serve as a Shared Accounting Module (SAM) user. The authorized individual will be contacted and must confirm signature before request can be completed. The |
|authorized individual signing this form cannot be designated as the user on this form. |
|Name (print) | |Signature | |
|Title | |Phone |( ) - |Date | / / |
|Email Address | | |
|Please mail or fax the completed form to the SAM Treasury Support Center |
|Regular Address: |Fax: |Overnight Address: |
|SAM Treasury Support Center | |SAM Treasury Support Center |
|Federal Reserve Bank of St. Louis |1-866-707-6575 |Federal Reserve Bank of St. Louis |
|P.O. Box 442 | |1421 Dr. Martin Luther King Drive |
|St. Louis, Missouri 63166 | |St. Louis, MO 63106-3716 |
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- setting up default location and printer settings
- invoice company locations user guide
- semi annual recertification occurs for hlas and plsa users
- step by step guide to managing the active directory
- appendix e request for eva virginia s eprocurement
- installing office xp on terminal server
- the general tab state procurement office the online
- general tab spo state procurement office
Related searches
- nycha annual recertification portal
- public housing annual recertification packet
- nycha annual recertification packet
- nycha annual recertification self service
- nycha annual recertification online
- fill nycha annual recertification form
- hud annual recertification forms
- hud annual recertification checklist
- hud annual recertification questionnaire
- bath and body semi annual sale 2019
- bath and body semi annual sale
- bath and body works semi annual 2020