Attachment J-12 - Appendix E - Delphi User Access Request Form for External Users - DRAFT.pdf
PDF 210 KB Posted
- Attached to
- Pre-Solicitation Draft Request for Proposal Project Management Oversight (PMO) IDIQ Contract
- Solicitation number
- FTA_2024_PMO_0003
About this file
This document contains a draft user access request form for an external user seeking access to the DELPHI/ESC system to submit invoices electronically. The form requests information such as the user's name, phone number, email address, supplier name and number, and justification for access. It indicates the user would require access to FTA ISP Vendor to submit invoices via Delphi eInvoicing. The related pre-solicitation notice is for the Project Management Oversight IDIQ contract to be awarded by the Department of Transportation Federal Transit Administration in 2024. It provides high-level information on the opportunity type, awarding agency, and solicitation number but no further details on required products or services.
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Text version
DELPHI/ESC User Access Request
Request Type: XXXX New User Modify User Delete User Reactivate
User Type External (iSupplier)
USER INFORMATION
*First Name M/I *Last Name *Office Phone
*Supplier Name *Supplier Site(s)
*Email Address *Supplier Number *PO Number
APPLICATION ACCESS
RESPONSIBILITIES TO ADD
FTA ISP Vendor User
RESPONSIBILITIES TO REMOVE (IF MODIFY)
RESPONSIBILITIES TO REACTIVATE (IF USER HAS BEEN DEACTIVATED)
JUSTIFICATION
User requires access to submit invoices via Delphi eInvoicing
If Supplier Name, Supplier Number, or Supplier Site(s) are not known, at a minimum the PO number is required. The user will be notified by email of their userids and initial password. Notification is system generated and will be sent to the email address in their employee setup. Please validate that the email address on this form is correct.
Warning: This form contains privacy data and is protected under Public Law 93-579, Privacy Act
LIST ALL THAT APPLY
J:\Delphi Security Request\User Security Request.xls
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