GMTG FLINT ASSEMBLY

SYSTEM ACCESS REQUEST/AUTHORIZATION

SHADED = REQUIRED INFORMATION

NAME (FIRST, M.I., LAST): JOB TITLE:

PHONE #: ( ) – SSN: - - DEPT. NAME:
EMPLOYE O GM (C) O GM O EDS (E) OEDS EDS*NET OLD:________ O NEW
TYPE: CONTRACTOR CONTRACTOR (V) ID:
(W)
CHECK ONE:
O ADD O CHANGE O DELETE O REINSTATE ID O MODEL AFTER ID:____________
(FOR FLEX & ISP)
MAINFRAME OPTIONS:
O ALBS (P2IMS33) O MGO-A (P4IMSPF) O CV70 (P2CV70) O COMM-CALLS 2B (P2T31)
O GMTKS (GMTKSK1) O FLEX (AUI32) O VIP2000 (P1IMS01) O TSO___________
O HOURLY O SFE (Local) O RPM (RPMCDB) ___________
O SALARY O DIAL-UP O TELNET (DADNN3A) ___________
O Pass/Gateway (P1IMS01) O O WEBNET O OLIMPIC (P1NP00)

COMMENTS:

Employee Signature: ______________________________ Date: ________________

Supervisor Signature ______________________________ Date: ________________
Point Captain Signature: ______________________________ Date: ________________
APPROPRIATE SIGNATURES ARE REQUIRED TO AUTHORIZE IDs FOR ALL IPC SYSTEMS
The following is a list of System Owners and Information Owners for the various IPC systems used at Flint Assembly. The System
Owner is responsible for the IDs that will be accessing the system. These individuals will be the contact people for the EDS Security
personnel. You must have your Supervisor’s and System Owner’s signatures on the form. If any are missing, we will be required to
send the form back to you for the required signature(s) and this will delay the receipt of your IDs and/or access. Return this form to
the EDS Security Team for processing.
System(s) Needed Signature System Owner

FLEX Dfield = GMGEN... R.Ramirez/D.LaCasse

FLEX HOLDS LaCasse
R.Ramirez/D.LaCasse
GMTKS (Hourly) B.Dixon/T. Goulette
GMTKS (Salary) Vicky Vamos
MGO-A Dfield = CGBB.ZJJ Acc Code 6PCZSS Dianne LaCasse
6PCZSSadfieldmgo
OLIMPIC S. Bice
PASS/GATEWAY Bob Romanowski
Committe Calls/P2 05 TSO Dfield = fltcomm. Ted Schramm
RPM Matt Kramer
VIP Bob Romanowski
FOR INTERNAL USE ONLY
UID STRING: TBFL________________ Netid Access Code: __NR2DKS_______
Date Processed: _____________________
Date Received: ____________________ EDSNET ID: ________________________
SEND THE COMPLETED FORM TO: EDS FLINT ASSEMBLY DATA SECURITY

S:\EDSSHRSN\COE-TOL\FORMS\mnfrm.doc Rev. 10/25/2018