Security Access Request Forms
These forms are fillable online, but must be printed and signed by the person requesting access. DPHHS employees must also obtain their supervisor's signature. Forms must have a signature in order for the security unit to process an access request.
Completed forms should be faxed to:
Network Security Unit: (406) 444-5924
Please do not return these forms to Payroll or Human Resources
Network Security Unit
Christi Mock, Computer Security Supervisor
Technology Services Division
111 N Sanders, Room 204
Helena MT 59620
Policies referred to in Security Access Request forms:
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DPHHS Employee System/File Access Request Form An OM-300A form must be completed and signed by employee and their supervisor for all new hires. OM-300A (Word format) Employee System File Access Request (Outlook Template) |
NON-DPHHS Employee System/File Access Request Form An OM-300B form must be signed by all Non-DPHHS employees and their supervisor for initial access and any subsequent access requests. |
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Access Delete Request Form OM-300C (Word format) Access Delete Request (Outlook Template) |
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