The KYTC SiteManager/LIMS Request form will be used by the applicable Construction and Materials SiteManager System Administrators to create a SiteManager/LIMS User ID, and add the needed securities for system access. The top portion of this form should be filled out by the new user’s supervisor and submitted through IT Requests.

Requested for: Click here to enter text.

District: Choose an item.

Crew: Click here to enter text.

Title: Click here to enter text.

Contact Number: Click here to enter text.

Email Address: Click here to enter text.

Program Access Type: Choose an item.

Contract Access Type: Choose an item.

User’s Job Duties: Click here to enter text.

Business Objects Access:Choose an item.

Date ID Needed: Click here to enter a date.

SiteManager/LIMS Trainer:Click here to enter text.

Supervisor: Click here to enter text.

Supervisor’s Contact Number: Click here to enter text.

Supervisor’s Email Address: Click here to enter text.

To be filled out by the SiteManager/LIMS System Administrator:

The information in this portion of the SiteManager/LIMS User ID Request Form indicates the SiteManager/LIMS User ID and securities added in the system for the requested user.

SiteManager/LIMS User ID: Click here to enter text.

Default Password: PASSWORD

Access Granted: Click here to enter text.

Contract Access Type: Choose an item.

Security Groups: Click here to enter text.

Sample ID Initials: Click here to enter text.

Created by: Click here to enter text.

Send to:	SiteManager	LIMS

Jeremiah Littleton	Mark Higdon

SiteManager System Administrator	LIMS System Administrator

Jeremiah.Littleton@ky.gov	Mark.Higdon@ky.gov