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Run: Software Access Request

Request access to a specific software application with business justification, role details, manager approval, and security review in one place. Use it to ro...

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Request Details

Request type (required)

Software application (required)

Enter the name of the application you need access to.

Requested access level (required)

Requested role or permission set

If the application uses named roles, enter the exact role name.

Temporary access end date

Business Justification

Business need (required)

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 (required)

Select only the data categories the user will actually need to access.

Requestor Information

Requestor name (required)

Requestor email (required)

Department (required)

Manager name (required)

Manager email (required)

Security and Compliance Review

Will this access include PII? (required)

Will this access include PHI? (required)

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.

Yes No N/A

Approvals and Submission

I confirm the information provided is accurate and that access will be used only for authorized business purposes. (required)

Yes No N/A

Manager approval

Manager approval may be collected through workflow routing after submission.

Additional comments

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Email (required)

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