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This document is used to designate agency security administrators for statewide systems and outlines the necessary information and responsibilities of these administrators.
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How to fill out Designation of Agency Security Administrators for Statewide Systems

01
Begin by downloading the Designation of Agency Security Administrators form from the official website.
02
Fill in the agency name at the top of the form.
03
Provide the contact information for the primary security administrator, including name, title, email address, and phone number.
04
List additional security administrators if applicable, ensuring you include their contact information as well.
05
Review the agency's security policies to ensure compliance with statewide standards.
06
Sign and date the form to certify that the information provided is accurate.
07
Submit the completed form to the designated state authority via email or postal mail, as specified in the guidelines.

Who needs Designation of Agency Security Administrators for Statewide Systems?

01
State agencies that operate statewide systems require a designated security administrator.
02
Employees responsible for managing security access and policies within state agencies.
03
Individuals who oversee compliance with state and federal security regulations.
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The Designation of Agency Security Administrators for Statewide Systems is a formal document that identifies individuals responsible for overseeing and managing security protocols associated with statewide systems.
Agencies that utilize or have access to statewide systems are required to file the Designation of Agency Security Administrators document.
To fill out the Designation of Agency Security Administrators, agencies must provide necessary details such as the names, titles, and contact information of the designated security administrators.
The purpose of this designation is to ensure that there are assigned individuals responsible for the security and integrity of statewide systems, thus promoting accountability and safeguarding sensitive information.
The information that must be reported includes the names of security administrators, their contact information, their roles within the agency, and any relevant qualifications or credentials.
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