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7/31/2019 40829974_Security_Access_Form 20120518
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CIGNA Security Form v1.1Date Amended 13 JAN 2012 Page 1
INSTRUCTIONS: Use the section that best matches your security request. Requestor should [email protected] any assistance in completing this form. There are two parts in this form:
PeopleSoft Access:A. New or Update User ProfileB. Create/Update Role(s)/Permission List(s)C. Query Access to RecordsD. Security by Department TreeE. Security by Permission ListF. Miscellaneous
Non-PS Access:A. DatabaseB. UnixC. Miscellaneous
Naming convention is _Security_Request_Form_.doc Only one user per form (multiple users require multiple forms)CIGNA User: CIGNA security SME completes the CIGNA ACS Security Request Form and submits to ACS Security shared
mailbox ([email protected])
ACS User: For existing users, requestor completes the CIGNA ACS Security Request Form and submits to their respectivemanager. Manager should validate and approves by forwarding it to ACS Security shared mailbox
mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]7/31/2019 40829974_Security_Access_Form 20120518
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CIGNA Security Form v1.1Date Amended 13 JAN 2012 Page 2
A. New or Update User Profile (PEOPLESOFT ACCESS)
Last Name, First Name: SINGH, HARIKESH
EE ID/Consultant PIN/Operator ID: 40829974
Action (New/Update Access/Disable
Access)
New
Environment (Prod, SIT, QAT, PLT, P2T
DVD etc):Prod,SIT,QAT,PLT,P2T
E-mail (For POI's only): [email protected]
RBAC/ACS Roles (add): Please refer the
Role Matrix below for the appropriateRoles.
CG_ACS_HRIS_ADMIN
RBAC/ACS Roles (remove):
Row Level Sec. Permission List:
Row Level Sec. Departments (add): Read/Write No Access
Row Level Sec. Departments (remove):
Data Permission Roles (add)
Data Permission Roles (Remove)
Other Access (Specify)
Note: To request same access to multiple users please update the attached spreadsheet along with this form.To select functional Roles please use Roles/Permissions spreadsheet below.
Cigna Security FormMultiple Users.xls
Roles/Permissions list
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CIGNA Security Form v1.1Date Amended 13 JAN 2012 Page 3
Create/Update Role(s)/Permission List(s)
For new or customized pages that needs be granted to CIGNA/ACS users: CIGNA security SME approves by forwardingthe form to ACS Security shared mailbox ([email protected]) requesting a SC ticket be created for thesecurity request
RBAC/ACS Role (if known)
Permission (if known)Environment (Prod, SIT, QAT, PLT, P2T, DVD etc)
Navigation (e.g. Root > Workforce Admin > etc)
Menu
Component
Page
Access Type (None, Display Only, Add, UpdateDisplay, Update Display All, Correction)Note: Choose None to remove access
Other Instructions
B. Query Access to Records
RBAC/ACS Role (if known)
Permission List (if known)
Access Group (if known)
Environment (Prod, SIT, QAT, PLT, P2T, DVD etc)
Records (add):
Records (remove):
Other Instructions
C. Security by Department Tree
RBAC/ACS Roles (if known)
Row Level Sec. Permission List (if known)
Environment (Prod, SIT, QAT, PLT, P2T DVD etc)
Row Level Sec. Departments (add) Read/Write No Access
Row Level Sec. Departments (remove)
Other Instructions
mailto:[email protected]:[email protected]:[email protected]:[email protected]7/31/2019 40829974_Security_Access_Form 20120518
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CIGNA Security Form v1.1Date Amended 13 JAN 2012 Page 4
D. Security by Permission List (Data Permissions)
RBAC/ACS Roles (if known)
Data Permission List:
Environment (Prod, SIT, QAT, PLT, P2T DVD etc)
Security SetSecurity Type Security Access Type Key 1
Other Instructions
Values to be used for Security Type and Key 1
Security Access Type Key 1
Use 005 for Reg Region 3 character Reg Region code
Use 101 for Emplid ManagerID for whom you
need to provide access
E.
Miscellaneous (Including access to Component Interfaces, Web Services etc)
RBAC Role (if known)
Permission List (if known)
Environment (Prod, SIT, QAT, PLT, P2T, DVD etc)
Other Instructions
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CIGNA Security Form v1.1Date Amended 13 JAN 2012 Page 5
Please contact Security/Access Management Team for any questions or problem with the AMF or with the Account Administration Process.Email Address:[email protected]
Upon completion of this form, attach managers email approval together with this form and email to Security/Access Management Team
Account Owner (
*Field compulsory to fill in)NON-PEOPLESOFT ACCESS
Action * New
Company * ACS
First Name * Harikesh Last Name * Singh
Job Title *Systems Development
ConsulatntEmail * [email protected]
Phone No Location * Little Falls, NJ
Managers Name * Managers Email *
WIN ID *For ACS Employee Only
Select One Option 40829974
Database Account
Request Type User Name Environment Name(s)
Request Type * only required ifaccess modification isneeded
All access granted will be read only access unless otherwise specified in Other Access below.
Other Access * : Select One Option
CGP91DVD
CGP91QATCGP91SIT
CGP91PLTGGP91P2TCGP91PDP
mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]7/31/2019 40829974_Security_Access_Form 20120518
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CIGNA Security Form v1.1Date Amended 13 JAN 2012 Page 6
UNIX Account
Request Type User Name Please select appropriate Checkbox as applicable
Request Type* only required ifaccess modificationis needed
Developer Support Tester
Other Access
(SpecifyBusinessReason)
CIGPITLINVMPSFAP101(10.204.15.72) - CGP91DVD,CGP91SIT
CIGPITLINVMPSFAP201(10.204.15.71):CIGH91QAT
CIGPITLINVMPSFAP701(10.204.15.70):CGP91PLT,CGP91P2T
Miscellaneous Accounts
Request Type Account Type User Name
Request Type CITRIXCitrix non-Prod Server Citrix Prod Server
Request Type AMERICAS DOMAIN
40829974* only required ifaccess modification
is needed
Americas Domain Access is required if you have requested access to Citrix
Request Type CIGNA SHAREPOINT Site:https://sp.acs-inc.com/ess/projects/hcms/hcmsprj1/default.aspx
Request Type HPQC Select One Option
Request Type Kforce
Request Type ODM
Remarks:
https://sp.acs-inc.com/ess/projects/hcms/hcmsprj1/default.aspxhttps://sp.acs-inc.com/ess/projects/hcms/hcmsprj1/default.aspxhttps://sp.acs-inc.com/ess/projects/hcms/hcmsprj1/default.aspxhttps://sp.acs-inc.com/ess/projects/hcms/hcmsprj1/default.aspx7/31/2019 40829974_Security_Access_Form 20120518
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CIGNA Security Form v1.1Date Amended 13 JAN 2012 Page 7
Management Approval
1st level of Approval:
Manager Name Balaji Seshadri Manager Email [email protected]
Date (dd-mm-yyyy) 05/18/2012
2nd level of Approval (is required for all production environment access):
* Manager Name Barbara Defeo Manager Email [email protected]
Date (dd-mm-yyyy) 05/18/2012
PS: There is no need of first level approver if a request comes from 2nd level of approver directly
Approval Matrix
1st level of Approvers
Department Approvers
CIGNA John Kissel/Barbara Defeo/Julie Bower
ACS HRIS Team Anthony Ngu/Balaji Seshadri
ACS Payroll Joan Thompson
ACS ESC/WFA Victoria Stevens
2nd level of Approvers
Production Barbara Defeo/Julie Bower