Test Third Party
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City of Greensboro, NC
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PURPOSE
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Additional Purpose
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SCOPE
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POLICY
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Data Center Third Party Policy Guidelines
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Information Systems Third Party Policy Guidelines
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ACKNOWLEDGMENT
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Department Working Within at the City of Greensboro
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Third Party’s Company Email Address
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Printed Name Signature
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Date
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NOTE: Each third party requesting network access must complete and submit this page. Each third party must possess his or her own network access; shared network access is not allowed and is strictly prohibited.
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Attachment 1
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THIRD PARTY CONNECTION REQUEST - INFORMATION REQUIREMENTS DOCUMENT
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In accordance with the Information Technology Acceptable Use Policy, all requests for third party network access must be accompanied by this completed Information Requirements Document. This document should be completed by the City of Greensboro emplo...
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A. Requester Contact Information (City of Greensboro)
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Technical Contact Information (City of Greensboro)
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Back-up Point of Contact (City of Greensboro)
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B. Problem Statement/Purpose of Connection
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D. Third Party Information
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E. What type of work will be done over the Network Connection?
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F. Are there any known issues such as special services that are required? Are there any unknown issues at this point, such as what internal the City of Greensboro services are needed?
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G. Are there any critical business needs associated with this network account access?
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H. What is the requested account creation date (Minimum lead-time is 3 business days)?
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I. What is the approximate duration of the network account access?
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J. Are there any existing network accounts at the City of Greensboro with this company?
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K. Other useful information
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Third Party User Agreement – Authorized Signatures
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(“Company”) City of Greensboro
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Name Name
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Date Date
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