Instructions to Complete 'Request for Access to America's OSOS' Form

The submission of this form affirms that the sender has assured the completion of required attestations by the agency and the person for whom this request is being submitted. The Director of a Partner agency requesting access for its staff must complete and sign the Interagency Agreement on Confidentiality and submit it to the DOL Regional Administrator for a counter signature. The individual for whom access is being requested must complete the Individual Access and Confidentiality Agreement. Partner staff must submit this form to their Partner Security Coordinator; DoES staff must submit it to the Regional Security Coordinator. The Directors of non-DOL agencies who are requesting access to any of the Job Bank Security Permissions for their staff must also agree to and sign the LWIA Job Bank Participation Agreement that will be submitted to the manager of the DoES office responsible for that area.

Please choose ONE - of the following options:

SECTION I: USER INFORMATION

Agency Affiliation - choose either the DOL button or the Partner Agency. Your selection here will control the selections you have in drop down boxes that follow. Choosing DOL will provide NYSDOL Regions and Local Offices. Choosing Partner Agency will provide LWIAs and One-Stop offices. This field is always required.

Region or LWIA - choose from the drop box; always required.

Local Office or One Stop - choose from the drop box; required for all new USERs.

Agency Password (Case Sensitive) -only used by the Partner's Security Coordinator when submitting a request form to Workforce Development & Training (WDT).

Partner or Volunteer Agency - data enter (required for all new USERs)

Partner Security Coordinator - choose from the drop box.

DOES Regional Security Coordinator - choose from the drop box.

First Name - of the person for whom you are requesting OSOS access (always a required field)

Middle Initial - of the person for whom you are requesting OSOS access (always a required field)

Last Name - of the person for whom you are requesting OSOS access (always a required field)

Title - of the person for whom you are requesting OSOS access (required for all new USERS)

Phone # - of the person for whom you are requesting OSOS access (required for all new USERS)

Fax # - of the person for whom you are requesting OSOS access (required for all new USERS)

E-mail - of the person for whom you are requesting OSOS access (For Partner staff only)

OR

RACF USER ID - of the person for whom you are requesting OSOS access (For DOL staff and/or DOL 'volunteers' only.)

Name of Supervisor - of the person for whom you are requesting OSOS access. This should be the person who is responsible for reviewing this USER's work and scheduling their appointments (required for all new USERS).

Sub-Department or Agency Division - data enter (required for all new USERS)

Will this USER Connect via a Virtual Private Network (VPN)? Yes or No

SECTION II: SECURITY PERMISSIONS REQUEST

GENERAL PERMISSIONS - Indicate which, if any, of the two General (stand-alone) Permissions is being requested. Only one of these permissions may be assigned. One MUST be assigned in order to use any of the other add-on permissions.

JOB BANK PERMISSIONS - Indicate which, if any, of the six Job Bank (Add-on) Permissions is being requested. The USER must also have the Professional General Permission. A request for any of these permissions by non-DoES staff requires approval from the corresponding DoES Local Office representative in accordance with the LWIA Job Bank Participation Agreement or Business Services Plan.

Job Bank Participation Agreement on File - if there is a request for non-DOL access to any of these six Job Bank Permissions, there must be a Job Bank Participation Agreement signed by the USER's agency director on file. This can be in the form of the basic DoES Job Bank Participation Agreement or a locally developed Business Services Plan that incorporates the basic Job Bank Participation Agreement. A copy of this agreement, signed by the agency director and the local DoES representative, should be on file in the DoES Local Office and with the Partner Security Coordinator.

Customer Match & Refer - 1st level of Job Bank permission that allows USER to match a customer to jobs s/he may be qualified for and document those referrals in the Job Bank. Please refer to the definitions for specific capabilities.
Do not request if USER has Job Bank Match/Refer.

Job Order Create - 2nd level of Job Bank permission that allows USER to create new job orders. Please refer to the definitions for specific capabilities.
This is not needed if USER has Job Bank Match & Refer.

Employer Activities - 3rd level of Job Bank permission that allows USER to post services and activities provided to a business. Please refer to the definitions for specific capabilities.
Do not request if USER has Job Bank Master Records.

Job Bank Match/Refer - 4th level of Job Bank permission that allows USER to create new job orders and to conduct the Public Employment Service function of matching jobs to the Talent Bank pool and making referrals. Please refer to the definitions for specific capabilities.
A USER with this access should not have Customer Match/Refer or Job Order Create permissions.

Job Bank Master Records - 5th level of Job Bank permission that allows the USER to add Employer records to the Job Bank, a responsibility for maintaining the Job Bank. Please refer to the definitions for specific capabilities.
A USER with this should not have Employer Activities permission.

Employer Correspondence - an additional Job Bank Security permission that allows the USER to generate correspondence to the Employer customer. Please refer to the definitions for specific capabilities.

WIA PERMISSIONS - Indicate which, if any, of the four WIA (Add-on) Security Permissions is being requested. Partner Security Coordinators will be informed of all USERs gaining access to the first two permissions. A request for either of the last two WIA permissions by DoES staff requires approval from the corresponding LWIA Partner Security Coordinator.

LIMITED ACCESS PERMISSIONS - Indicate which, if any, of the eight limited access permissions are being requested for this USER. Not all of these permissions are available to everyone in the field. Please review the definitions for specific information.

Comments/Exceptional Circumstances - Limited narrative space to describe special circumstances that would explain unusual requests, and to indicate Security Permissions to be removed.

Send USER Registration - From the website, the Partner Security Coordinator clicks this button to submit the request. Required carbon copies will automatically be forwarded as per flow chart attachments.

Final Signature and Date: required if this form is transmitted to a Regional or Partner Security Coordinator via mail or fax. The signature must be from an agent of the agency authorized to request OSOS access for that agency's staff. The signature confirms the same assurances listed for electronic submission of the form.