MIRIAM COLLEGE

Human Resources Division

HRIS SERVICE REQUEST FORM

HSR No.

Unit Office Contact No. Date

HEU/GA NSTP DEPT June 24, 2021
GARCIA SOPHIA
NAME
Last Name First Name Middle Initial
Service Request Description

Account Creation Unit Timekeeping Access

✔ Account Deactivation Payroll Processing Access

Approver Designation Others (please specify) ________

Date Received: Date Needed:

Requested by: Approved by:

MYRA LIMBO CARLO GARCIA/JASMIN NARIO-GALACE
Signature over Printed Name Unit Head Signature over Printed Name
FOR HUMAN RESOURCES DIVISION USE ONLY
ACTION TAKEN

Accomplished by: User Acceptance:

Signature over Printed Name Signature over Printed Name

F-HRD-202
Rev.1 (08-01-19)