Section 1 of 1 in this document

City of Stamford HTE Access Request

First Name:

Last name:

Department

HTE Applications Needed (Application followed by Code) - Select all that apply:

INFISYS INQUIRY

ACCOUNT NUMBERS

FROM:

TO:

ACCOUNT NUMBERS

FROM:

TO:

ACCOUNT NUMBERS

FROM:

TO:

PURCHASING REQUISITION LEVELS

ENTRY / RECEIVING

FROM:

TO:

LEVEL 1 (DIVISION) APPROVAL

FROM:

TO:

LEVEL 2 (BUREAU) APPROVAL

FROM:

TO:

LEVEL 3 (DIRECTOR) APPROVAL

FROM:

TO:

CASH RECEIPTS

Please note that you cannot request or approve your own account. This must be done by an authorized individual in your location who will sign below. Unauthorized forms will not be processed.

Security Officer Sing-Off

First Name

Last Name

Choose how to sign

Draw Type