User Access Request Form

Editable PDF form for user account creation, modification, termination.

Instructions:

1. Please open the attached PDF (above), fill out applicable fields, and temporarily Save to your local computer.
2. Attach the form and submit to Modern Data. This can be accomplished in two ways. (1) Open a new help desk support ticket via e-mail (support@moderndata.com) or (2) Via the online help desk portal (https://support.moderndata.com).
3. Once attached, please delete the file from your computer.

Request definitions:

New Position - new employee (user) or new employee (user) and position.

Change - add, modify, and/or remove permissions/access levels, software, department, location, etc. for an employee (user).

Replacement - new or existing employee (user) replacing an existing employee (user).

Termination - user account removal due to employee (user) separation.