Request Access Authorization to a Research System

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Required format:

gch8GkeVjH5ycIGokUH2jvERoTfMBiXEck4DXRKp65Z5iQjXQUdQqSLkNke4kr5ZYP6MTyjdvQHQJQNE86ehL7q3UN923A7732HnrwXEuro9dJTZPcym3UpsP2

Important Access Information

Valid ID Required: You must have an active UT Southwestern, Parkland, or Children's ID before submitting this request.
Processing Time: Requests require a minimum of 3 full business days to process.
Correct Information: Incomplete or incorrect forms will be rejected and must be resubmitted.
VPN Required: Accessing eResearch systems from outside UTSW requires VPN. Contact your IT support team for assistance.

Help & Expanded Access: For assistance, please submit through the
UTSW Service Center or contact the Service Desk at
ServiceDesk@utsouthwestern.edu / 214-648-7600.

For Conflict of Interest (COI) questions:
conflictofinterest@utsouthwestern.edu | 214-648-5300 | UTSW COI Website

Standard access requests for the below systems do not require additional justification:

ETHOS

Velos

eGrants

eAgreements

Requests for TOPAZ Elements access require additional justification in the following section:

TOPAZ Elements

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Do you need to be listed as personnel on an IACUC protocol?

* must provide value

Yes

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Are you an ARC, COI, IACUC, SBC, or SPA office staff member?

* must provide value

Yes

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Do you need to receive billing information about animal charges (per diem) or complete other financial transactions within TOPAZ?

* must provide value

Yes

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WARNING:

You do not meet the standard TOPAZ eligibility criteria.

TOPAZ Access Eligibility Criteria:

Individuals who need to be listed on an IACUC protocol to view its contents and/or complete animal work
Individuals within the ARC, COI, IACUC, SBC, or SPA offices who require access to the TOPAZ system to complete essential job functions
Individuals who need to receive billing information about animal charges (per diem) or complete other financial transactions within TOPAZ

If you still feel that you need access to TOPAZ, please contact the ARC or IACUC office to explain why you need access to the system.

Acknowledgement

* must provide value

I understand I may not meet TOPAZ eligibility and that access may not be granted.

Velos is a study management tool used to help investigators manage the set up and day-to-day activities of human research studies. At UT Southwestern, all research studies conducted on human subjects must be registered in Velos. Additionally, patients involved in the studies can be registered in Velos and enrolled in their respective studies within the system.

ETHOS is the paperless submission and document routing system that is used to submit new studies, continuing reviews, modifications, study closures, adverse events, etc. related to human research studies. (Studies are first registered in Velos, then pushed to the eIRB system where they are submitted to the IRB for review and approval.)

(Retired - do not use) eCOI is the electronic Conflict of Interest system through which the Statement of Financial Interest forms are submitted to the Conflict of Interest Office.

COI ROLE
The eCOI tab will be automatically assigned to anyone placed on research and, normally, the person will have the role the next day. The only exception to this is for the non-PIs on Topaz studies who are dependent upon the PI or designee to select those individuals as being research.

eGrants is an electronic grants submission system that streamlines the development, routing, and submission of all grant applications that are currently being submitted through the Research Grants and Contracts Office.

(Retired - do not use) System Role

Standard access will be assigned in the systems based on this eResearch Access Request form. Standard access allows users to create studies, as well as manage and view only those studies on which they are listed as a study team member. This access is sufficient for most research staff. If you need permissions beyond Standard, please reference the instructions above.

First and Last Name

* must provide value

Network User ID
e.g., S123456, P12345, JDOE1

* must provide value

Network User ID Organization

* must provide value

Organizational Email Address

* must provide value

Form Submitter's Email Address

* must provide value

Processing Status (internal use only)

* must provide value

In Progress

Processed

Denied

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Submission Timestamp (auto)

Y-M-D H:M

Processing Date (auto)

Y-M-D H:M

Last Name

* must provide value

First Name

* must provide value

Official Email Address
(No personal accounts allowed)

* must provide value

UTSW Employee?

* must provide value

Yes

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Job Title
Example: Professor
Example: Resident

Phone
(Only work phone numbers allowed)

* must provide value

Department or Center

(Note: Students not associated with a department should provide the department of their mentor or PI.)

* must provide value

In this section, list ALL User IDs you are associated with at UT Southwestern, Children's and Parkland. (For any institutions which you do not have a User ID, enter "NA".)

Note:
* Enter the User IDs exactly as you would enter them to log into the network or email at the institution.

* The User IDs listed here MUST be issued by UT Southwestern, Children's or Parkland.

* Enter "NA" for any institutions for which you do not have a User ID.

* If submitting on behalf of someone else, please enter their User ID information - not your own.

Enter UT Southwestern User ID (NOT Person #)

(If submitting on behalf of someone else, enter their User ID - not your own.)

* must provide value

Enter Children's User ID

(If submitting on behalf of someone else, enter their User ID - not your own.)

* must provide value

Enter Parkland User ID

(If submitting on behalf of someone else, enter their User ID - not your own.)

* must provide value

Is this request a resubmission for access to eAgreements and/or eGrants due to required training?

Yes

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If yes, please upload your completion certificate from Taleo.

Upload file

Comments

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Form Author:
(enter your name and network username)

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