I. New User Information (* Required)
| *First Name: |
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*Last Name: |
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| *Street: |
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*City: |
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| *State: |
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*Zip Code: |
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| * Job Title: |
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| * Job Function in CIPMS: |
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| * Phone: |
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| Fax: |
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| * Email: |
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City of Houston Employee: |
| * Department: |
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| * Division: |
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* Branch:
(required for Engineering and Construction division employee)
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Non-City Employee: |
| * Company: |
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II. Project Access - Provide WBS numbers (Separated by comma only) (Applicable to CM, EOR and Contractor Only)
* APPROVAL:
Consultant or users working for a PM must complete Lines 1 and 2.
City Project Manager must complete lines 2 and 3
| No. |
Title |
Name |
Signature |
Date |
| 1 |
Project Manager |
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| 2 |
Manager, CE, or D.A.D. |
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| 3 |
Assistant Director |
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