Forms LibraryInformation Services
Information Services uses IBM's Tivoli Identity Management (ITIM) system
to request access to UTMB's information resources. Except for the
instances below, access requests will be made via
ITIM by the department's trusted requestor. If you do not know who your trusted requestor is,
click here to look up your trusted requestor.
Requesting Access if ITIM is unavailable - if ITIM is
not available and a trusted requestor has an emergency request, contact
the Service Desk at ishelp.utmb.edu or call (409)772-5200.
A ticket will be created and Access Management will be
paged. Please include the user's name and what access is needed. IS
will only respond to these requests if they are made by a Trusted
Requestor (TR). After ITIM is back online, the TR will need to go online
and make the same request. This information is needed for automation
and audit purposes.
ISSA Security Load Form
For Information Services employees only - Mobile Device Allowance
(Webform) - Eligible IS employees who have a documented official state
business need for a mobile communication device will be eligible to
recieve the moblie communication device acquisition allowance(s).
(Webform) - Operations is responsible for tracking all mobile leased
equipment. Please fill out the IS Leased Asset Loan Form Agreement for
each device in your posession.
Trusted Requester Authorization Form - This form
serves as documentation for who is authorized to sign as a Trusted
Requester for your department on issues related to Information
Patient Care Systems Change Request Form - used to interactively request changes in patient care systems.
UTMB Employee Nondisclosure
- The University of Texas Medical Branch at Galveston Information
Resources Security Acknowledgement and Nondisclosure Agreement form for
Non UTMB Employee Nondisclosure - The University of
Texas Medical Branch at Galveston Information Resources Security
Acknowledgement and Nondisclosure Agreement Form for Non-UTMB Employees
and Visiting Students
Student Nondisclosure - The University of Texas Medical
Branch at Galveston Information Resources Security Acknowledgement and
Nondisclosure Agreement for UTMB Students.