Local Account Rights Request

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VITA/IT Infrastructure Partnership
COV Account Request Form

Local Account Rights Request

Account request selection:

Agency:

Effective Date for Request: Requests greater than five (5) business days in advance are unable to be processed. Please submit the request within five (5) business days of the desired effective date.

Type of Request: AddModifyRemove

First Name:

Middle Initial:

Last Name:

Phone:

Ext:

Address:

City:

ST:

Zip:

Manager's First Name:

Manager's Last Name:

Manager's Email Address:

Manager's Phone:

Manager's Ext:

Computer / Server / PC Name:

User's Login ID:

Same as Manager Information

Requester's First Name:

Requester's Last Name:

Requester's Email:

Requester's Phone:

Requester's Ext:

Requests cannot be sent directly to the VITA Customer Care Center or to non-agency or VITA/NG partnership email addresses from this website. All provided email addresses must be your agency’s ISO, AITR, and/or Designee.

Agency Approver's Email 1:

Agency Approver's Email 2:

Agency Approver's Email 3:

Agency Approver's Email 4:

INSTRUCTIONS:

Please Review: Each section of the online form corresponds to the instructions provided in the sidebar of this web page. Click any section in the sidebar to review these instructions at anytime.

Section 1

Request Information

Agency: Select the Agency that this request is for.

Effective Date: Select the date that this request needs to be processed.

Type of Request:

Add - Select if the request is to add Elevated PC Rights to a Local Account.

Modify - Select if the request is to modify Elevated PC Rights on a Local Account.

Remove - Select if the request is to remove Elevated PC Rights from a Local Account.

Section 2

Employee/Contractor Information

“First Name” through “Zip” fields - Input the personal information for the account being requested. If the user does not have a middle initial, Check the "No Middle Initial" checkbox.

Manager’s First Name” through “Ext” fields - Input the personal information of the direct supervisor for the account being requested.

Section 3

Local Account Requirements

Elevated PC Rights Required:

Add Requests:
- Computer / Server / PC Name: Enter the Computer or Server Name that requires the Elevated PC Rights.
- User's Login ID: Enter the user's Login ID for the COV Domian.
- Type of Rights Required:
  - If Local Admin User, Click the "I understand" CheckBox. Then, Indicate the user's Support Role and that the request has been approved and on file at your agency. No Exception is required for Local Power User rights.
  - Expiration Date: Enter the date that this exception should expire. The duration cannot exceed one year.
Modify Requests:
- Computer / Server Name: Enter the Computer or Server Name that requires the modification to Elevated PC Rights.
- User's Login ID: Enter the user's Login ID for the COV Domian.
- Type of Rights Modification:
  - If Local Power User to Local Admin User, Click the "I understand" CheckBox. Then, Indicate the user's Support Role and that the request has been approved and on file at your agency. No Exception is required for Local Power User rights.
  - If Change local Admin User's Support Role, Click the "I understand" CheckBox. Then, Indicate the user's new Support Role and that the request has been approved and on file at your agency.
  - Expiration Date: Enter the date that this exception should expire. The duration cannot exceed one year.
Remove Requests:
- Computer / Server Name: Enter the Computer or Server Name that requires the removal of Elevated PC Rights.
- User's Login ID: Enter the user's Login ID for the COV Domian.

Section 4

Other Instructions/Comments

Enter any additional comments in the text box that you feel may assist in the approval and/or the processing of this request.

Section 5

Account Requester Information

“Requester's First Name” through “Requester's Zip” fields - Input your contact information in the fields provided.

Section 6

Agency Authorized Account Request Approver Information

Agency Approver's Email (1-4): Input up to 4 email addresses for your Agency's Authorized Account Request Approvers. Agency Authorized Account Request Approvers consist of AITRs, ISOs, and Designees. When this form is submitted, those individuals listed within these fields will receive an email from you via the COV Account Request Website to approve or deny the request.

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