Get Escalation Form

Completing the Escalation Form accurately is essential for obtaining the necessary privileges for system access. This guide will walk you through each section of the form to ensure you provide all required information.

Follow the steps to complete the Escalation Form online

1. Click ‘Get Form’ button to access the Escalation Form and open it in your browser.
2. In Section I, provide your registrant information. Fill in all fields clearly, including your name, agency or organizational unit, street address, city, state, zip code, contact telephone, and email address.
3. Specify the system(s) for which you are requesting escalated privilege access. If audit control is enabled for the system(s), check the appropriate box for yes.
4. Indicate the purpose for which you require this access in the designated field.
5. Describe the services you will be administering using this access.
6. Choose your method of access requested, such as VPN, local, or agency, and fill in the appropriate field.
7. Enter the operating system platform you will be using for the requested access.
8. In Section II, review the acknowledgment statement, then sign and date the form in the designated area.
9. Forward the form to your agency’s supervisor for approval. They will need to fill in their information, including the project or program name, before signing in Section III.
10. After receiving approvals from your supervisor and the Authorizing Entity, email a completed copy of the form to the Statewide Office of Information Security or mail it to the provided address.
11. Finally, remember to save any changes you made, and download, print, or share the completed form as needed.

Get started by completing the Escalation Form online today.