Form 1260 12 PDF Details

In the landscape of government operations, ensuring the right people have the right access to software applications is crucial for efficiency and security. Form 1260-12, stemming from the Department of the Interior in October 2003, serves as a bridge to this need within the Bureau of Land Management (BLM). This form, designed to address and streamline the process of granting, modifying, or removing access to various BLM software applications, acts as a comprehensive tool for managing user permissions. Users, whether they are government employees or contractors, must provide detailed information, including their name, organizational details, and the specific access requirements they are requesting. The process emphasizes accountability and security, necessitating users to affirm their responsibility for adhering to BLM computer system guidelines via Form 1264-3 prior to submitting Form 1260-12. Furthermore, the form facilitates a process of verification and approval, involving several tiers of management including supervisors, IT security managers, and application or program representatives. This layered approach ensures that access is granted appropriately and is aligned with organizational roles and needs. Completing and submitting Form 1260-12 is just the beginning; the actions taken by the Land and Resources Project Office (L&RPO), as recorded on the form, finalize the user's access journey, marking the provision or denial of permissions within the BLM's application security system.

QuestionAnswer
Form NameForm 1260 12
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other names1260 12 blm form, checkbox, BLM, Permissions

Form Preview Example

Form 1260-12 (Oct 2003)

United States

 

Route Form To:

Department of the Interior

 

1.

Supervisor/Task Manager

 

2.

Local Information Technology

 

 

 

 

Bureau of Land Management

 

 

Security Manager (ITSM)

Land and Resources Project Office

 

3.

State Application/Program Rep.

 

4. Fax completed form to L&RPO at

Software Applications Permission Request

 

 

 

303-236-6691.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

USER INFORMATION

 

 

 

 

 

 

Print Name (First MI Last):

 

 

 

 

 

 

Government Employee

Contractor: Company:

 

__________________________________

Print Lotus Notes email short name __________________________ (e.g. Jane Smith = jsmith or j1smith)

Org./Office Code:

 

Telephone No. :

 

Fax No.:___________________

I have read and signed Form 1264-3, Individual Computer User’s Statement of Responsibility for the General Rules and Guidelines Governing the Use of BLM Computer Systems. My Form 1264-3 is on file with the State/Center IT Security Manager.

Signature: ________________________________ Date:_____________________________

LOGIN ACCESS DETAIL

BLM Application Security System (BASS) and System Application Permissions:

Application Name (e.g. RAS, LR2000/CR, AFMSS) Permissions (Write, Read, Query, Owner etc)

Add User Account

 

 

______________________________________

________________________________________

______________________________________

________________________________________

______________________________________

________________________________________

______________________________________

________________________________________

Modify User Account

 

Effective Date: ___________________________

______________________________________

________________________________________

______________________________________

________________________________________

______________________________________

________________________________________

______________________________________

________________________________________

Remove User Account

Remove from All Accounts Effective Date: _____________________

______________________________________

________________________________________

______________________________________

________________________________________

______________________________________

________________________________________

______________________________________

________________________________________

SIGNATURES

 

BLM Supervisor/Task Mgr:

 

Date: _______________________

*Local ITSM:

 

Date: _______________________

State Application/Program Rep:

 

 

Date: _______________________

*Send original signed copy of the Login Access Request form (Form 1260-12) to the State/Center IT Security Manager.

ACTIONS TAKEN (L&RPO Use Only)

Login-ID Created/Deleted

Permissions Granted

Other (explain below)

Comments:_________________________________________________________________________

BASS/Application Permissions Admin

______ Date: __________________

 

 

 

Instructions for filling out Form 1260-12

User Information section

Fill in your first name, middle initial and last name.

Check the box for either Government Employee or Contractor. If Contractor is checked enter your company name.

Enter your Lotus Notes email short name/user ID. To find your Lotus Notes short name go into the BLM address book, find your name and double click on your name, and look under short name/user ID.

Enter your Org./Office Code: To find your Org./Office Code go into the BLM address book, find your name and double click on your name, click on the Work/Home tab, look for Department under the Home tab for your Org./Office Code.

Enter your Telephone No. and Fax No. These can also be found in the BLM address book under the Work/Home tab for your name.

If you have read, signed and submitted Form 1264-3 to your IT Security Manager then sign next to signature and fill in the date you sign. If you haven’t read, signed and submitted Form 1264-3, then go to your State/Center IT Security Manager and do so before signing this form.

Login Access Detail

If you need to add a user account to the BLM Application Security System (BASS), check the Add User Account box.

If you need to have a user account modified, check the Modify User Account checkbox. If there is a specific effective date that you need, fill in the effective date. List the specific software applications that you need to have modified in the first column and the specific level of permissions for each application in the right column.

If you need to remove a user from access to software applications check the Remove User Account check box. If the user is to be removed from all access to application software, then check the Remove from All Accounts checkbox. If there is a specific effective date that you need, fill in the effective date. List all software applications that the user is to be removed from in the left column and all permissions that they are to be removed from in the right column.

Signatures

See the Routing information on the top of the form.

The BLM Supervisor for Federal employees or the Task Manager for contractors must sign and date the form then route it to the Local Information Technology Security Manager.

The Local Information Technology Security Manager needs to sign and date the form then route it to either the State Application/Program Representative or L&RPO depending on the directives for the specific system.

The State Application Representative or Program manager for the software application must sign the form. For some systems, the form may go directly to L&RPO. Please follow the directives for your specific system.

When all other routing is complete, fax the form to L&RPO at 303-236-6691.

Actions Taken (L&RPO Use Only)

L&RPO Staff will fill in and sign this portion of the form after the changes to access and permissions have been made.

Form 1260-12 (Oct 2003)

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Stage no. 1 for filling in 1260 12 blm form

2. The next part is usually to complete all of the following fields: Modify User Account Effective Date, Remove User Account, Remove from All Accounts Effective, SIGNATURES, BLM SupervisorTask Mgr, Date, Local ITSM, Date, State ApplicationProgram Rep, Date, and Send original signed copy of the.

Completing part 2 of 1260 12 blm form

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Best ways to prepare 1260 12 blm form part 3

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