Get 140-20 Employee Security Affidavit And User Identification (logon Id)

The 140-20 Employee Security Affidavit and User Identification form is essential for ensuring the security and integrity of the WIC Management Information System. This guide provides clear, step-by-step instructions on how to complete this form online, making it accessible for all users, regardless of their prior experience with legal documents.

Follow the steps to fill out the form accurately and securely.

1. Click the ‘Get Form’ button to access the document online and open it in your preferred editor.
2. Carefully read the purpose and policy statements provided on the form to understand your responsibilities regarding WIC MIS access.
3. In the section marked 'User employee name', print the full name of the person who will be signing the affidavit.
4. Fill in the title of the user/employee in the designated space to clarify their role.
5. The user/employee needs to provide their signature to affirm their understanding and compliance with the security requirements.
6. The supervisor should print and fill in their full name along with their title.
7. The supervisor then needs to sign and date the form, showing that they acknowledge the responsibilities of the user.
8. Complete the local agency information, including the agency name, agency number, and physical address.
9. Ensure all fields are accurately filled out and review the form for completeness before submission.
10. Once you have filled out the form, save your changes, download a final copy, or print it for your records.

Complete the 140-20 Employee Security Affidavit and User Identification form online to uphold data security and integrity.