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  4. Banner Payroll Web Time Entry Authorization Request Form

Banner Payroll Web Time Entry Authorization Request Form

Please complete the top of the form online then print the form to obtain the necessary signatures.

Return to: Payroll, Knight Campus

Please provide the following information:
Date:
 
CCRI ID:
 
First, MI, Last Name:
 
*Title:
 
*Please indicate if you work through a Temp Agency
Department:
 
Campus:
 
Phone Extension:
  
E-mail:
 
Employee Role:
 Faculty  Staff   Other
Account Type:
 New  Terminated   Change
If account changed, what is reason?
 
Agreement: I have read, understood, and agree to comply with FERPA regulations, the CCRI Data Security Policy and the CCRI Policy on the Responsible use of Information Technology; I understand that I am responsible for any computing activity carried out using this account. Access to Banner Payroll Web Time Entry will be activated upon completion of all training.

Applicant's Signature: _____________________________ Date:_________________

Supervisor's Signature: _____________________________ Date:_________________

For Office Use Only

Payroll Signature: ___________________________  Date: _________________

IT Dept. Completion Date and Initials: _________________