Did you know that there is a specific form you need to fill out in order to request a leave of absence from work? Known as Form Oit 0115, this document is used by employees who need to take time off for personal reasons. In this blog post, we will provide an overview of the form and explain what information is required. We will also discuss the steps involved in submitting a request for leave. So, if you are considering taking a break from work, be sure to read our latest post!
Question | Answer |
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Form Name | Form Oit 0115 |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | VPN, OIT-0115, CIO, III |
Statewide Office of Information Security
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Garden State Network |
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Remote Access Registration Form |
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For |
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State Employee |
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VPN |
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GoToMyPC |
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Air Card / MPN |
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Initial Credential ID: |
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Other |
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Group ID: |
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Complete sections I, II and III of this form, sign in the requested area and forward it to your Agency’s Supervisor for approval and signature in section IV. After receipt of this form, the Authorizing Entity will provide instructions for setting up your Remote Access to the Garden State Network.
I. Registrant Information (Type or print clearly and complete all fields)
Name:
Agency/Organizational Unit:
Street Address:
City, State, Zip Code:
Contact Telephone:
II. Justification
1.Requesting Remote Access to the Garden State Network for access to the following system(s):
2.Require this access for the following purpose:
3.Type of Remote Access Requested (Check only one)
GoToMyPC |
Email Address: |
I understand that this access is limited to desktop or workstation access only, and may not be shared:
Initialize
VPN (Credential) |
Device MAC Address: |
I certify that I have received and will utilize State issued equipment to access the State of NJ VPN and may not be shared:
Initialize
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III. Registrants Acknowledgment (Signature of registrant required)
As a user of the State of New Jersey Garden State Network Remote Access, I understand that the confidentiality and protection of the State’s information is of the utmost importance. I have read and understand the State’s Policy on the
acceptable use of the Garden State Network Remote Access..
If I receive access to the Garden State Network Remote Access, I will use it only for authorized purposes. I will notify the Authorizing Entity immediately if I believe that another person may have obtained unauthorized access.
I understand that all information transmitted or received through the Garden State Network Remote Access is the property of the State and is to be used for State business only. I further understand that representatives of the State are authorized to monitor the use of the Garden State Network Remote Access.
I attest that the information submitted on this form is correct. I am aware that any violation of the Garden State Network’s Remote Access Policy may subject me to disciplinary action; loss of Remote Access privileges and that
unlawful use of the Garden State Network Remote Access may result in civil liability, criminal liability or both.
Print Name
Signature: |
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Date: |
IV. Supervisor’s Approval (Signature of registrant’s supervisor is required)
The above individual has been approved to acquire Remote Access on behalf of:
(Project/Program Name) NOTE: Must be filled in
I understand that it will be my responsibility to notify my agency’s CIO (or designee) in a manner prescribed by the
agency’s internal policy, immediately upon learning that this individual is no longer employed with the agency, that his/her authorization to access the Garden State Network (GSN) on behalf of the agency has been withdrawn, or if any misuse of the Remote Access mechanism or unauthorized access to the GSN has occurred.
Print Supervisor’s Name
Signature: |
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Date: |
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Title: |
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V. Authorizing Entity’s Approval |
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CIO, CTO (or Designee) Signature: |
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Date: |
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Print Designee Name |
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Title: |
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Statewide Office of Information Security |