ESA Request Form: Field Defininitions
| Field | Required? | Description |
| Effective Date | Yes | When access is needed |
| Work Order # | Yes | Work order is used to track request and work completed |
| Request type - New or Change | Yes - choose one | Describes type of access requested |
| Replacement Position? | Yes | Helps determine level of CX (CARS) access is needed. Access will be modeled after individual being replaced |
| Employee (User) Data | ||
| Last Name, First Name, Middle Initial | Yes | Name of user/employee |
| Location | No | Identifies physical location of user |
| Dept./School | No | Dept./School of user |
| Title | No | Job title of user, if an employee |
| Role(s) of User | ||
| Check all that Apply | Yes | Identifies access requirements and restrictions |
| System(s) Access | ||
| Budget Review | Yes, if access to CX Budget menus is necessary | See Required |
| CX (CARS) | Yes, if any level of CX is required | See Required |
| CX (CARS) Printing - Name of printer to be accessed | Yes, if CX user will print |
Name of printer to which user will send print jobs |
| University telephone | Yes, if phone equipment and extension are needed | See Required |
| Long Distance Code | Yes, if phone user will need to dial outside of local area code | Budget Account Code indicates departmental budget to be charged for calls placed by the user |
| Novell and shared drive name | Yes, if access to a Novell shared drive is required | Must provide path of shared drive or folder to be accessed. Only available at the Webster Groves campus. |
| Authorization and Acknowledgement | ||
| Supervisor Authorization Signature | Yes | Verifies request has been approved |
| Employee Acknowledgement Signature | Yes | Verifies user acknowledges proper use of systems and data |
/technology/service-desk/forms/
