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Name:
Phone:
Dept:
Bldg Code/Room:
E-mail Address
Mark the appropriate area below:
Select from the following:
School or Office:
Signature Assoc. Dean/Division Director Print Name
Signature of Registrar Print Name
Date
Date

Documentum Authorization Form
Registrar:
Schools:
Fax Transmittal Memo

To:
Technical Support
Dept:
Registrar's Office
# of pages:
Fax #:
713-500-3356
From:
Dept:
Phone #:
Fax #
Signature Print Name
All individuals are responsible for the management of information resources and are accountable for their actions relating to information resources security. Individuals using information resources are expected to know and comply with published university policies and procedures. By signing this contract, you agree to only use the userid/password for the purpose intented and not to share or dislcose a password. Failure on the part of any individual to comply may result in disciplinary action including suspension without pay ot termination of employment or contract. A person may be subjected to civil or criminal legal sanctions when a violation occurs. It is the responsibility of all personnel to report any suspected criminal or confirmed violations of this policy to the Registrar's Office or appropriate management.
Employee:
Date
Student Records information is confidential information protected by the Family Educational Rights and Privacy Act (FERPA). It is the responsibility of the employee to protect and hold confidential all applicant/student data according to FERPA.
P.O. Box 20036 - UCT 2250, Houston, TX 77225
Phone: (713) 500-3361 Fax: (713) 500-3356
Office of Registrar
Office Use Only

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