TEA Secure Environment (TEA SE)

Request for Access:  SSES / RCS

Safe School Evaluation System / Risk and Compliance System

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

Section 1:  Requestor Information

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

*Date Required (MM/DD/YYYY)

*Last Name

*First Name and Middle Initial

*Job Title

*Organization or TEA Division Name

 

*Work Address

 

*City

*Zip Code

*County/District Number or TEA Cost Center

*Region Number or TEA

*Phone Number

FAX Number

*E-mail address

 

* = Required information  

Section 2:  Type of Access or Modification Requested

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 SSES.  My job duties include this responsibility.

     MODIFY my access to SSES/RCS. My needs have changed.  Modification desired is:

         

     REVOKE my access to SSES/RCS.  My duties no longer include this responsibility.

     DELETE my access to all TEA SE applications.

Section 3:  Request for Access to Confidential Data

You have requested access to confidential information.  Specific plans to protect the confidentiality of this information are needed in order to process this request.  In lieu of specific plans, please provide information requested below:

I agree that my access to Safe School data (including student name and Social Security Number) is for the following limited purposes:

My purpose is to review/correct PEIMS 425 errors and/or review risk based issues for student discipline population.

Other purpose.  Please specify below.

*1.  Who will have direct access to this confidential information?  If the answer includes persons other than those specifically stated on the request form, do you have Confidentiality Agreements on file for them?

*2.  What precautions have you taken to prevent unauthorized persons from viewing confidential data on the workstation monitor?  Is the workstation located in a public or private area?

*3.  If any of the student information is printed (for example, in a report or screen print), where is the printed information stored?  If it is in a locked cabinet or area, who has access to that area?

*4.  If other safeguards are in place to secure this information, please note these below:

  • I understand that any user name and password assigned to me by TEA is to be considered private and confidential.  I also understand that this information cannot be shared.  I will neither divulge my password nor use a TEA SE username and password assigned to someone else.

  • I understand that I am responsible for all transactions made with my TEA SE username and password.

  • If I suspect that my password has been compromised, I understand that it is my responsibility to change it.

  • I agree that access to confidential data will be limited to the purpose specified above, and agree to limit the data I view to that necessary for that purpose.

  • I will not knowingly or intentionally enter any unauthorized data, or change any data without authorization.

  • I understand that procedures must be in place to monitor and protect confidential information.

  • 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.

  • I understand that any unauthorized disclosure of confidential student information is illegal as provided in the Family Educational Rights and Privacy Act of 1974 (FERPA) and implementing federal regulations found in 34 CFR, Part 99.  FERPA is specially incorporated into the Texas Open Records Act as an exception to records that are subject to disclosures to the public (Government Code, Section 552.026).

  • In addition, I understand that any data sets or output reports that I, or my authorized representative, may generate using confidential data are to be protected. I will not distribute to any unauthorized person any data sets or reports that I have access to or may generate using confidential data. I understand that I am responsible for any computer transactions performed as a result of access authorized through my TEA SE username(s) and password(s).

  • I also understand that release of confidential student information is prohibited by the Texas Government Code, Section 552.352, and that such an offense constitutes a Class A misdemeanor.


 

 

*Requestor's Signature

Date

 

*Superintendent's Typed Name (district/region/campus/vendor staff only)

or TEA Division Director's Typed Name (TEA staff only)

*Superintendent's Signature (district/region/campus/vendor staff only)

or TEA Division Director's Signature (TEA staff only)


This section to be completed by TEA Program Coordinator

District/ESC users TEA users

District user     parameter: Cnty/Dist#

TEA Admin       parameter: leave blank

 

 

Program Coordinator Signature Date

This section to be completed by TEA Security Coordinator

TEA SE username:

 

 

Security Administrator Signature Date

Section 4: Submitting Your Request

To complete your application:  

1.  Complete the form online.

2.  Print and sign the completed form.

3.  Submit the signed form to your manager for approval.

4.  Mail or fax all pages of the application, signed by you and your manager, 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 512-463-9982.

Billy Jacobs

Texas Education Agency

Department of State and Federal Student Initiatives

1701 N. Congress Ave.

Austin TX  78701-1494                           FAX:  512-463-9428