TrustArc Access Request Form

TrustArc Permission Request

Request or Revoke TrustArc permissions for UW staff

Submitter Information

Submitter | Name(Required)

First

Last

Submitter | UW Email(Required)

Submitter | UW Organization(Required)

We are using the Institutional Organization Structure (IOS) to help manage user access permission workflows. Learn more about the IOS by reviewing this paper by the Data Governance Committee.

IOS Level 1 is the University of Washington.

Submitter | Job Title(Required)

TrustArc access request type(Required)

I am a supervisor requesting access to TrustArc for a direct report

I am requesting access to TrustArc for myself

Supervisor Information

Supervisor | Name(Required)

To maintain data quality and consistency across UW information systems, please insert the name as displayed in the UW Directory or Workday at the time of this request.

First

Last

Supervisor | UWNetID(Required)

This must be the individual’s personal UWNetID. Shared UWNetIDs are not permitted.

Employee Information

Employee | Name(Required)

To maintain data quality and consistency across UW information systems, please insert the name as displayed in the UW Directory or Workday at the time of this request.

First

Last

Employee | UWNetID(Required)

This must be the individual's personal UWNetID. Shared UWNetIDs are not permitted.

Employee | UW Unit(Required)

We are using the Institutional Organization Structure (IOS) to help manage user access permission workflows. Learn more about the IOS by reviewing this paper by the Data Governance Committee.

Access must be based on the principles of least privilege, which means access for any individual shall be limited to only what they need to have to be able to complete their assigned duties or functions. Select the unit for which you are responsible for third-party relationships, system, or business processes.

IOS Level 1 is the University of Washington.

Employee | Job Title(Required)

Employee Roles and Responsibilities

In the context of TrustArc data inventory and privacy-related assessment activities, the assigned duties and functions for the subject of this access request involve one or more of the roles and responsibilities below (check all that apply):(Required)

Business process owner or the business process owner's designee

Individual who is responsible for the overall development, implementation, operation, and maintenance of a business process/project/research study. This includes privacy by design and internal controls and operational practices related to the business process.

System owner or the system owner's designee

Individual who is responsible for the overall development, implementation, operation, and maintenance of an information system. This includes privacy by design and information security controls and operational practices related to University information and information systems for their area of responsibility.

Third-party contact or third-party contact's designee

Individual who is responsible for managing the UW's relationship with the third party.