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Form 05SC003E (MID-1) - Oklahoma Department of Human Services

Form 05SC003E (MID-1) - Oklahoma Department of Human Services 2025

Form 05SC003E (MID-1) - Oklahoma Department of Human Services Preview on Page 1

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The document is an OKDHS Logon Authorization Request form for employees, detailing the process for assigning, reactivating, or changing user identification numbers (USERID). It includes sections for employee information, requested privileges for system access, and an acknowledgment of confidentiality and security policies. The form requires signatures for approval from supervisors and security representatives.

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Click ‘Get Form’ to open it in the editor.
Begin with Section A, where you will select the action requested: Assign USERID, Re-activate user identification, or Change user information. Fill in the necessary details as prompted.
Proceed to Section B and enter your employee information. Ensure that all fields such as Last Name, First Name, M.I., Division, and Job Title are filled out clearly.
In Section C, specify the privileges you are requesting by checking the appropriate boxes for Mainframe and Network access. If needed, provide additional specifications for systems required.
Complete Section D by acknowledging your responsibilities regarding confidentiality and security policies. Sign and date this section to confirm your understanding.
Finally, move to Section E for approval signatures. Ensure that all required personnel sign and date this section before submission.

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What is the Oklahoma Department of Human Services?

Oklahoma Human Services helps more than one million Oklahomans each year across a wide range of services including food assistance, child support, child care, reporting abuse, disabilities services and caretaker needs among others.

How to apply for benefits in Oklahoma?

Oklahoma Department of Human Services 405-521-3444 (phone) 405-522-5050 (phone) 1-866-411-1877 (toll-free) 405-521-4158 (fax)

How do I apply for the Oklahoma Department of Human Services?

The easiest way to apply is to apply online at .OKDHSLIVE.ORG. You may also submit a completed form 08MP001E (Request for Benefits) to your Local Human Services Center. You can get a copy of the form at your local office if you cannot access it online.