User Access and Technology Request Form

Form Notes:
Processing Time Information
It will take five business days to complete this request
It will take two weeks to order new hardware in the event it is not available in inventory
Cost Information
Please be aware providing software and hardware is not free. See the appendix for cost information.
Disclaimer
By submitting this request I have read, understand, and acknowledge the requirements stated in all
Regal policies including but not limited to the Ethics and Integrity policy and Electronic Resource Policy.
I further understand that violation of Regal policies can lead to disciplinary action up to and including
termination. If submitting for another person I acknowledge they also understand, acknowledge, and
have signed and submitted the appropriate policies.
Personal Information
Question

Answer

SSO number

610058300

First name:

Miguel Angel
Dominguez

Last name:
Middle initial:
Is this a new Employee or
Contractor?
If this person a contractor
will they require VPN
access?
Is this a person a shop floor
or office employee?
If this person is a shop floor
employee who will use a
generic computer logon?
Setup like who?
Start date:
Job title:

No

Must have for form to be processed

No

If yes, complete the VPN access

form and include in request

Shop floor

Necessary so we know if MS Office

should be provided
If this person will use a generic shop
logon then they will not need Active
Directory network
Who should access be setup like?
Leave blank if completely new

Yes
If yes, include like persons name
and SSO number
02/13/2015
ASISTENTE DE CONTEOS
CICLICOS

Enter name if replacing another

person
Yes or No

Person replacing:
Contractor or temporary:
Regal office location:

Contractor

Piedras Negras Jakel

Blank if not yet assigned

Regal phone number:

Regal Supervisor Information

Question

Answer

Supervisor SSO
number

100006265

First name:

JORGE LUIS
HERNANDEZ
PIEDRASNEGRAS JAKEL
8787077553

Last name:
Regal office location:
Regal phone number:
Oracle account #

Note or comment
Must have for form to be processed.
See contractor

Note or comment
Must be Regal employee

Blank if not yet assigned

Account number to charge all user
access expenses to

Additional Sales Representative or Warehouse Information

Question

Answer

Note or comment

Answer Yes if needed

Note or comment
Please state if you need a PC or
laptop. Include any additional
information such as: standard/ large
screen, engineering workstation,
ultraportable
If requires a Regal phone extension

If Leeson Warehouse,
please type name of
business:
If Leeson Warehouse,
please type city/state of
location
If Marathon Rep, please type
name of business:
If Marathon Rep, please type
city/state of location:
If Mechanical Group, please
type name of business
If Mechanical Group, please
type city/state of location:

Requested Hardware
Hardware
PC or Laptop

Phone extension
Conference calling
Cell phone/ tablet (iPad)

Not applicable

Any other

Use separate request form found on

IT Help Desk page
List any other hardware needs such
as hands free headset

PC Applications
Applications
Email & messaging

Answer Yes if needed

Note or comment

Yes

JIRA
Microsoft Office
Microsoft Project
Visio
Other

List any other application needed

Non-Oracle & Non-QAD Systems

Applications
STAR

Answer Yes if needed

Note or comment
List what user to make like

FAS
Engineering software

List what needed

Bartender factory labels

IT software
Other

List Toad, etc.

List what else is needed (not Oracle)

QAD Systems
Applications

Answer Yes if needed

Note or comment

North America or China

Access?
Location(s) needing access
for
Describe access needed

Oracle Systems
Applications
Responsibiliti
es requested

Answer Yes if needed

add the follow responsibilities.

Note or comment
List specific
responsibilities needed
if known

RBC JKL Pur Inventory

Work in Process
RBC JKL Cycle Count
Does this
person need
BI access?
Instances
needed

Oracle printer
name
Employee will
make
requests for
purchases
Employee will
enter receipt
transactions
for material
received at
dock
Employee is a
supervisor/ma
nager and will
approve
requests for
purchases
Employee is a
Buyer and will
be
responsible
for Approving
Purchase
Orders
Buyer-Direct
Material Only
BuyerExpense
Material Only
Buyer-Direct
Material &
Expense

If yes, list what group is

required
Iprod R12

List what instances

needed - production,
quality, test, etc. Most
business users will just
need production.
What printer needs to
be printed on

Applications

Answer Yes if needed

Note or comment

Material
Employee is a
Buyer who
can approve
Requests for
Purchase AND
Approve
Purchase
Orders
Employee is a
Materials
Manager
Employee is a
Finance
Manager
Employee is a
Plant Manager

Any other
access or
relevant
notes

Please put in notes

that would help in
determining what
access is needed

Appendix Cost Information

Notes:

All costs are approximate and may vary based on hardware selected
Some items are Regal required and cant be unselected or refused
Item
Hardware
Laptop
Desktop PC
Mobile phone
iPad
Core Software
Microsoft Office
Microsoft Project
Microsoft Visio
Lotus Notes
Adobe
Oracle
Field Sales
Mobile Supply Chain Applications
Warehouse Management
!Supplier Portal
Order Management
Advanced Pricing
Advanced Collections
Advanced Pricing for Oracle Order Management
Payroll
!Supplier Portal for Oracle Purchasing
Advanced Collections
Oracle Discrete Manufacturing
Oracle Purchasing
Oracle Financials
Oracle Sourcing for Oracle Purchasing
Oracle Sourcing Optimization for Oracle Purchasing
Oracle iProcurement
Oracle Quoting
Oracle Advanced Pricing for Oracle Quoting
Oracle Advanced Pricing for Oracle Purchasing
Warehouse Management

Cost
$900
$700
$300
$800
$350
$150
$100
$100
$400
$504
$188
$378
$1,007
$503
$251
$151
$199
$25
$1,007
$151
$503
$503
$503
$1,007
$126
$13
$151
$251
$251
$378