Access Management Lifecycle Checklist
Complete this checklist to ensure proper management of user access throughout its lifecycle.
Requestor's Full Name
*
First Name
Last Name
Department / Business Unit
*
Please Select
IT
HR
Finance
Operations
Sales
Marketing
Other
Email Address
*
example@example.com
Type of Access Requested
*
New Access
Access Modification
Access Removal
System/Application Name
*
Reason for Access Request
*
Access Approval Status
*
Approved
Rejected
Pending
Provisioning Status
*
Provisioned
In Progress
Not Started
Checklist: Access Management Lifecycle Steps
*
Rows
Completed
Not Applicable
Access request submitted
1
2
Approval received
3
4
Access provisioned
5
6
User notified
7
8
Periodic access review scheduled
9
10
Access modified (if applicable)
11
12
Access reviewed/recertified
13
14
Access deprovisioned
15
16
Audit log updated
17
18
Responsible Person for Access Management
*
Date of Access Provisioning
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Date of Access Deprovisioning (if applicable)
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Checklist
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