Concur Profile Request

Concur Profile Request

This form is used when a profile is required to be setup in Concur or if additional access is required to be added.
Requestor Name*

First NameLast Name
Requestor Email*
Employee Name*

First NameLast Name
User Type*
Employee Email*
Employee Email*
Employee Banner ID*
Department/Faculty*
What is your employment status?*

Full-TimeLimited Term
Account Activation Date*

MonthDayYear
Date
Expected Graduation Date*

MonthDayYear
Date
Account Termination Date*

MonthDayYear
Date

Is this request regarding a new employee, existing employee, approver change, or delegate access?*

NEW EmployeeEXISTING EmployeeApprover ChangeDelegate Access to Temporarily Approve
NEW Employee:
Default Fund # (New Employee):*
Default Org # (New Employee):*
Activity Code # (New Employee):
Add Fund, Org and Activity Code # (New Employee)
Expense Approver(s)*

First NameLast Name
Approver Banner ID*
Is the user an Expense Approver?*

YesNo
List of Employees to Approve for*
EXISTING Employee:
(Please note: If the user also needs access in Banner/FAST, complete the Banner Finance Access Request form instead)
Is this to Add or Delete a Fund/Org/Activity Code?*

AddDelete
Fund # (Existing Employee): *
Org # (Existing Employee): *
Activity Code # (Existing Employee):
Add Fund, Org and Activity Code # (Existing Employee)
Additional request: Is this to Add or Delete a Fund/Org/Activity Code?

AddDeleteNo Action Needed
Additional Fund #:*
Additional Org #:*
Additional Activity Code #:
Add Fund, Org and Activity Code # (Additional)
Is this for a Department/Faculty Change?

YesNo
Current Department/Faculty*
New Department/Faculty*
Approver Change
Existing Approver Name*

First NameLast Name
Existing Approver Banner ID*
New Approver Name*

First NameLast Name
New Approver Banner ID*
Delegate Access to Temporarily Approve:
Delegate Name*

First NameLast Name
Delegate Banner ID*
Delegation Start Date*

MonthDayYear
Date
Delegation End Date*

MonthDayYear
Date

NEW Employee: