Non-State Employee System Access Checklist

Delete Account

The NFAPNative Family Assistance Program Point of Contact (POCPoint of Contact) must print and use this checklist when a staff member no longer needs system access. Failure to remove access for someone who is no longer employed or has changed jobs and no longer needs access to do their job is a security violation. The checklist and all of the forms / documentation shown on the checklist must be complete prior to submission to the DPADivision of Public Assistance sponsor at hss.dpa.policy@alaska.gov. The POCPoint of Contact must keep a copy of these forms and certificates for audit purposes. If there is more than one person that needs their access removed at the same time, one email can be sent with the forms for each attached.

Forms and other documentation

◻ Non-DHSS Employee Access Request Form (VPNVirtual Private Network)

◻ Mainframe Logon ID Request Form

◻ DPA Security Agreement Non-State Employee Form (SYS 1)

◻ Department of Labor (SAM)

◻ SAM Workorder Form

◻ Child Suppor Access

◻ CSSD WinStar Workorder Form

If the individual is no longer employed, please put "Not available for signature" anywhere the employee would typically sign the form.

Employee Name                                                  

Employing Agency                                               

Point of Contact                                                   

Date sent to hss.dpa.policy@alaska.gov