TEA Secure Environment (TEA SE)

Request for Access: Audits and Indirect Cost Rates

Guest Users

To request a new user ID, or modify or revoke existing access, complete this form online and obtain the required signatures or follow instructions for mailing or faxing the form located in Section 3.

* Indicates required information.

Section 1: Requestor Information

* Today's Date (MM/DD/YYYY)

* Date Required (MM/DD/YYYY)

* First Name

Middle Initial

* Last Name

* Job Title

* Organization Name

* Organization Address

* City

* Zip Code

* Phone Number

* FAX Number

* E-mail Address (Please provide your individual address, where your userid and password can be safely mailed.)

Section 2: Access or Deletion Requested

If you already have a TEA SE username, please provide it below. If not, please indicate that you need a username. You must also select one appropriate action you are asking TEA to take: ADD, MODIFY, DELETE, or REVOKE access.

Select one action:

I do not have a TEA SE username Please create one for me .

I already have a TEA SE username, which is

ADD access to AUDIT. My job duties include this responsilibity.
MODIFY my access to AUDIT. My needs have changed. Modification desired is:

REVOKE my access to AUDIT. My duties no longer include this responsibility.
DELETE my access to all TEASE applications.

Requestor Responsibility

I understand that I am resonsible for all transactions made with my userID and password.
I will neither divulge my password nor use a userID and password assigned to someone else.
If I suspect that my password has been compromised,I understand that it is my responsibility to change it.
I will not knowingly or intentionally enter any unauthorized data, or change any data without authorization.
I agree to notify the TEA Information Security Office when my job responsibilities no longer require access to the requested information, or I terminate employment with my current entity.

________________________________

*Requestor's Signature

________________________________

Date

* Supervisor's Typed Name

________________________________________

__________________

*Supervisor's Signature

Date

Section 3: This section to be completed by TEA Financial Audits Coordinator

Select one role

Guest (views information only)

Views rates(Indirect cost rate information) View closed schedules(if the district is closed)

Justification

_______________________________________________________

_______________

TEA Program Coordinator Signature

Date

Section 4: This section to be completed by TEA Information Security Coordinator

TEA SE username:

_______________________________________________________

_______________

TEA Security Administrator Signature

Date

Section 5: Submitting Your Request

To complete your application:

1. Print and sign the completed form.

2. Submit the signed form to your director for approval.

3. Mail or fax all pages of the application, signed by you and if applicable a partner, to the address at the bottom of the page. If you mail the request, be sure to retain a copy for your records.

For assistance, call 512-475-2228.

Paul Moreno

Texas Education Agency

Division of Financial Audits

1701 N. Congress Ave.

Austin TX 78701-1494 FAX: 512-463-1777