Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In the 'Request Section,' fill out your personal details including your name, organization, phone number, and email address. Provide a brief reason for your remote access request, including any applications you wish to access, as well as the requested duration.
3. In the 'Supervisor/Department Head Section,' ensure that your supervisor or department head prints their name and provides their signature to support your request. They must also indicate whether the request is approved or denied and date the section.
4. In the 'Information Technology Approval Section,' leave space for the AVP/CIO to print their name and provide their signature. They will also indicate the authorization status and date this section.
5. In the 'Information Technology Performance Section,' record the RSA Token Serial number and the name of the IT staff member responsible for this section. Include the date here as well.
6. Once all sections of the form are completed, review for accuracy. Save your changes, and then download, print, or share the completed form as necessary.

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