The code block below illustrates how one might use # and // as comments in your logic and calculations.

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SOMTech Elevated Account Request

Elevated accounts are used to provide administrative rights to specific PCs. Per VCU security standards, these accounts should only be granted when necessary.

The form below is the first step in the elevated account request process. The whole process is outlined here:

Requester complete this request form and submits it.
The submitted form is routed to the supervisor (or admin) listed in the request for approval.
The supervisor/admin approves the request and submits it to SOMTech.
SOM Security reviews the submission and works with the requester to obtain any missing details.
Once approved, SOM Security will work with the requester to get the elevated account setup and configured on the requested PCs.

Requests are processed in the order that they are received and the timeframe to get a response can be affected by many factors. Please email SOMSecurity@vcuhealth.org if you would like to check the status of the request.

Requester Name:

* must provide value

Requester Email:

* must provide value

Requester Phone Number

Requester Department:

* must provide value

Are you requesting privilege's for a Windows or Mac device?

* must provide value

Windows PC

Mac Device

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Before filling in the "Reason for Request" field below, please make sure that you have read through the SOMTech Elevated Accounts page. Specify why an Elevated Account is needed and include relevant software and use cases.

Before filling in the "Reason for Request" field below, please make sure that you have read through the SOMTech Make Me Admin Page. Specify why an Elevated Account is needed and include relevant software and use cases.

Reason for Request (Please be Specific):

* must provide value

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The person whose information is provided in this section will be the first one asked to approve this request before it is sent to the Assistant Dean for Administration. It is recommended that this supervisor/admin be made aware of this request before it is submitted.

Is your supervisor also the chair (or equivalent) for your department?

Yes

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Supervisor / Admin Name:

* must provide value

Supervisor / Admin Email Address:

* must provide value

Supervisor / Admin Phone Number

Number of computers you are requesting an elevated account for:

* must provide value

Is one of these computers an Apple Mac (as opposed to a Windows PC)?

Yes

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Please provide the location for each computer you are requesting an elevated account for. Be sure to include the building name and room number. Please provide computer names if possible.

* must provide value

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Please review the following responsibilities carefully. If there are any questions, please email SOMSecurity@vcuhealth.org.

If approved, as an elevated account user, I understand and agree to the following responsibilities:

All VCU security standards must be followed in order to help prevent the unauthorized disclosure, modification, or destruction of information related to the system, the School of Medicine (SOM), VCU, and VCU Health. Relevant policies and standards can be found on the following pages:

www.ts.vcu.edu

policy.vcu.edu

* must provide value

I understand and agree

The elevated account must only be used when administrative rights are required and only on the approved system.

* must provide value

I understand and agree

The elevated privilege's must only be used when administrative rights are required and only on the approved system.

I understand and agree

The SOM system must be made available upon reasonable notice to have the configuration altered by representatives of VCU SOM Technology Services (SOMTS) or if so directed, to make changes to the system consistent with provided guidance.

* must provide value

I understand and agree

The SOM system must be made available for periodic reviews of the security configuration by SOM Security staff.

* must provide value

I understand and agree

A ticket should be submitted to SOM Security at http://go.vcu.edu/SOMTicket when an elevated account is no longer needed (e.g. transfer, termination, role change).

* must provide value

I understand and agree

The password for the elevated account must not be shared with anyone besides the owner.

* must provide value

I understand and agree

The password for the elevated account must not match the related eID password and must meet the published password requirement. Passwords must be reset on an annual basis.

* must provide value

I understand and agree

Compliance with software and copyright laws must be ensured.

* must provide value

I understand and agree

The security and management configuration must not be changed on the system without prior approval from SOMTS. This includes, but is not limited to, the changes to the configuration (or removal) of the following items:

User accounts

Network (besides connecting to wireless)

Firewall

Antivirus

System management software (i.e. LANDESK)

Operating System

Windows and Microsoft Office Updates

* must provide value

I understand and agree

Any security incident or evidence of tampering with the system must be reported within 24 hours.

* must provide value

I understand and agree

Elevated accounts need to be renewed on an annual basis. Elevated account owners will be notified at least 30 days in advance of any renewal requirement.

* must provide value

I understand and agree

Elevated accounts may be disabled if any of these responsibilities are not complied with or if reckless behavior with the system is observed or identified.

* must provide value

I understand and agree

I acknowledge receipt of the above responsibilities. Furthermore, I understand these responsibilities, and will comply with these responsibilities if approved for an elevated account.

Administrative actions due to failure to follow the items described in the agreement may range from a verbal or written warning, denial of system access, to removal of system and data access, depending on the severity of the violation. I further understand that violation of these rules and responsibilities may be prosecutable under local, state and/or federal law.

Requester Signature:

* must provide value

Add signature

Date of Requester Signature:

* must provide value

M-D-Y

Additional Comments (Optional)

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