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IESO System Access Request and Identity Management Form

IESO System Access Request and Identity Management Form

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<strong>IESO</strong> <strong>System</strong> <strong>Access</strong> & <strong>Identity</strong> <strong>Management</strong> – (<strong>Form</strong> 1276)USERID_______________Part 1: What is your request?How should you complete this form?Please identify your request, complete the form <strong>and</strong> sign the declarations as indicatedbelow.Sections to CompleteSignaturesRequired (See Part5)Add New Account(Individual / API)Add/Delete <strong>Access</strong>Revoke All <strong>Access</strong>; RemoveUser From <strong>IESO</strong> SecureSitesEnroll New MarketParticipant RegistrationOfficer (MPRO)Part 2: MP <strong>and</strong> User InformationPart 4a or 4b: Grant access by job functionPart 2: MP <strong>and</strong> User InformationPart 4a or 4b: Grant/revoke access by jobfunction5.1 <strong>and</strong> 5.25.1Part 2: MP <strong>and</strong> User Information 5.1Part 2: MP <strong>and</strong> User InformationPart 4a or 4b: Grant system access ifrequiredRevoke MPRO role Part 2: MP <strong>and</strong> User Information 5.15.1, 5.2 <strong>and</strong> 5.4Change User InformationChange API CustodianInformationRecover Digital Certificate:Serial NumberReissue Digital Certificate:Serial NumberRevoke Digital Certificate:Serial NumberPart 2: MP <strong>and</strong> User InformationPart 3: Identify the new informationPart 2: MP <strong>and</strong> User InformationPart 3: Identify the new informationPart 2: MP <strong>and</strong> User Information 5.3Part 2: MP <strong>and</strong> User Information 5.1Part 2: MP <strong>and</strong> User Information 5.15.1 (for all changes)5.2 (<strong>Identity</strong> proofingfor name change only)5.1 (for all changes)5.2 (<strong>Identity</strong> proofingfor custodian namechange only)S<strong>and</strong>box ONLY(Test Environment)Part 2: MP <strong>and</strong> User InformationPart 4a or 4b: Grant access by job function5.1 <strong>and</strong> 5.2Who can sign the declarations in Part 5?Market Participant Authorized Signatory– this is the person whose signature is on the CertificateSubscriber Agreement (CSA) or Incumbency LetterMarket Participant Registration Officer (MPRO)ORNotary Public (include stamp or seal)OR<strong>IESO</strong> <strong>Identity</strong> <strong>Management</strong> OfficerSign to indicate your approval for allrequests(Please note: The only exception is that an MPROmay approve a ‘digital certificate recoveryrequest’ instead of the Market ParticipantAuthorized Signatory)Sign to verify user identity for:New user or new MPROUser’s name changeChange of custodianIMO-FORM-1276 v.18.0 1REV 09-0312 Confidential Page 1

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