University Cash Services	UNIVERSITY CASH SERVICES TEL NO: (818) 677-2318 FAX NO: (818) 677-4911 MAIL DROP: 8214
	CashNet Access Application for Employees

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Application Type:

New

Disable

Change

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I. EMPLOYEE INFORMATION: (ALL FIELDS ARE MANDATORY)
CSUN ID:		Name: (Last, First, MI)
Ext:	Mail:	Email: @csun.edu
Job Title:		Location/Bldg/Rm:
Department:		Dept ID:	Status: CHOOSE ONE STAFF STUDENT

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II. GROUP CODE:	III. DEPARTMENT CODE:
CHOOSE ONE ADMIN-Functional Administrator ADMIN_SC-System Security Administrator CSHR-Cashier INQ-Inquiry LEAD-Lead Cashier SUPV-supervisor	CHOOSE ONE EXTLRN-Extended Learning MAIN-Main Campus Cashier Department PARKING-Parking QC-Quick Copies SHC-Student Health Center UCS-UCS Back Office

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IV. PROVIDE REASON FOR ACCESS:

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V. SIGNATURES:
Applicant Signature: ______________________________	Date: ________
By signing this form, I am agreeing that the above information is true and correct.
Supervisor/Financial Manager/ Director Signature:______________________________________	Date: ________
Return the completed & signed (print double-sided) application to University Cash Services Mail Drop 8214.

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~ For Internal Use Only - do not write in this box ~
Additional Notes:	_________________________________________________
Has employee received Cashnet training? Y N I certify that the above applicant has had the necessary training on CashNet.
Cash Operations Supervisor Approval:	_______________________	Date: _________
UCS Manager Approval:	_______________________	Date: _________
Security Request Processed By:	_______________________	Date: _________