Software Access Request

Request access to a specific software application. Captures business need, requested role/permissions, manager approval, and security/compliance review.

Request Details

• Request type
• Software application
  Enter the name of the application you need access to.
• Requested access level
• Requested role or permission set
  If the application uses named roles, enter the exact role name.
• Temporary access end date

Business Justification

• Business need
  Describe the work task, project, or operational need that requires access.
• Impact if access is not granted
  Briefly explain the business impact if access is delayed or unavailable.
• Data types accessed in the application
  Select only the data categories the user will actually need to access.

Requestor Information

• Requestor name
• Requestor email
• Department
• Manager name
• Manager email

Security and Compliance Review

• Will this access include PII?
• Will this access include PHI?
• Security review notes
  Use this field for reviewer notes, risk considerations, or compensating controls.
• Requires compliance review
  Select if the request needs additional compliance review before approval.

Approvals and Submission

• I confirm the information provided is accurate and that access will be used only for authorized business purposes.
• Manager approval
  Manager approval may be collected through workflow routing after submission.
• Additional comments