Employee Cloud Account Request

EMPLOYEE CLOUD ACCOUNT REQUEST

Use this form to request creation, modification, or removal of cloud-based accounts and related access rights. Requests must be accurate and authorized by the employee's manager. By submitting this request the employee acknowledges responsibility for appropriate use, protection of credentials, and compliance with organizational security policies. Unauthorized access or misuse of cloud resources may result in disciplinary action up to and including termination.

Personal Information

Personal email (for notification if required):

Position Information

Employee start date:

Full-time    Part-time    Contractor/Consultant

Requested account effective date:

Cloud Access Requested

Cloud service(s) requested (select all that apply)

Amazon Web Services (AWS)    Microsoft Azure    Google Cloud Platform    Office 365 / Microsoft 365    Salesforce    Other:

Requested access level(s)

Read-only    Standard user    Administrator    Privileged / Elevated

Data sensitivity classification (select highest applicable)

Public    Internal    Confidential    Restricted

Requested access review/expiration date:

Multi-factor authentication (MFA) required for this account    Shared account requested (explain below if selected)

Required Resources & Configuration

Employment History (Most Recent First)

Dates employed: From To

Dates employed: From To

Education

Graduation or completion date:

Professional References

Legal Disclosures & Authorizations

At-Will Employment: This request does not alter the at-will nature of employment where applicable. Employment may be terminated by the employee or the organization at any time, with or without cause or notice, unless otherwise agreed in writing by authorized representatives.

Equal Opportunity: The organization provides equal employment opportunity and does not discriminate on the basis of race, color, religion, sex, national origin, age, disability, or any other protected characteristic under applicable law.

Authorization to Contact: I authorize the organization and its agents to contact current and former employers and listed references for purposes of verifying my employment history and evaluating this request.

Background and security checks: Where required by policy or law, I consent to background screening and security checks relevant to the requested access. Provision of false information or failure to disclose material facts may result in denial of access or disciplinary action.

Account responsibilities: I acknowledge that I am responsible for protecting credentials, reporting suspected compromise immediately, and using accounts only for authorized business purposes. I will not share personal credentials. All access is subject to monitoring for compliance and security purposes.

I certify that all information provided in this request is true and complete to the best of my knowledge and that I understand and accept the responsibilities stated above.

I authorize verification of my employment and references and any required background checks necessary to fulfill this request.

Manager Acknowledgement

Manager acknowledgement is required prior to account creation. By acknowledging, the manager confirms necessity of the requested access and acceptance of responsibility for periodic review.

I acknowledge and approve this request    I do not approve this request

IT Use Only

Approved    Denied

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