Antioch University eForms - Records Imaging System Access Request form

eForms

Records Imaging System Access Request form

Supervisors/Managers: Request Records Image System (Perceptive Content) Access Here. Starred * fields are required.

If you do not click "Continue" or "Save and submit later" within 2 hours (11:48 PM), your data will be lost. (fields marked with a * are required)

Supervisor: Enter your Employee's Information Here

First Name *	Middle Name	Last Name *	User ID *


Campus *	Phone *		E-mail *

Location/Campus*

Effective Date	Department*

Supervisor Name*	Supervisor Email*

Position*	Replacing Employee?*

Name & Position of Employee Replaced
Comments



Request Type*
As part of my job responsibilities, I will need to be able to: (check all that apply)

VIEW documents	PRINT documents

SCAN documents	INDEX (link) documents

D ELETE documents	I need the software on my computer

Other Access (enter all that apply)

Drawer(s) require access to:

Business Office Records you need access to:

ImageNow groups

Any Project or Workflow access
Access to ImageNow training materials at the Perceptive Software website


FERPA agreement

FERPA: The Family Educational Rights and Privacy Act (FERPA) is a federal law enacted 1974 that guarantees the Confidentiality of a student's records. As an employee of Antioch Universality, it is important for you to Familiarize yourself with the provisions of FERPA to ensure that you do not violate the federal law.

Please attach the signed FERPA agreement by the user.