Get Remote_access_request_form - Las Palmas Del Sol Healthcare

Completing the Remote_Access_Request_Form is essential for users needing remote access to systems at Las Palmas Del Sol HealthCare. This guide provides clear, step-by-step instructions to help you accurately fill out the form online.

Follow the steps to successfully complete your remote access request.

1. Press the ‘Get Form’ button to access the Remote_Access_Request_Form in your online environment.
2. Fill in your personal information in the designated fields: enter your last name, first name, and middle initial or mark 'NA' if not applicable.
3. Provide your work address, including city, state, and ZIP code to ensure accurate identification.
4. Input your phone number and extension in the respective fields to facilitate contact.
5. Enter your requester ID in the 3-4 ID of requestor field to help track your application.
6. Select your user type from the options provided, indicating whether you are an exempt employee, non-exempt employee, contractor, or vendor.
7. Fill in your facility ID, facility/company name, department number, and department name to provide context for your remote access request.
8. Choose the request type: new request, replacement, or transfer, depending on your needs.
9. Read and understand the user responsibility statement before signing it; this outlines your obligations regarding the use of remote access.
10. Sign your name in the applicant signature field, along with your title and the date of the application.
11. Have your manager review and sign the form; they must verify all information and confirm that you are a valid user.
12. The authorizing manager must also provide their title, printed name, phone number, and the date of signing.
13. Finally, submit the completed form for processing and keep a record of the submission and any additional requirements mentioned in the internal use section.

Complete your Remote_Access_Request_Form online today to gain necessary access.