Systems access request forms

Complete system access forms in Word. Print and sign the form.

Log a request ticket and attach the form through NSD Self Service

• System access request form (general form)
• Procurement data warehouse (PDW) system request form
• Quality care metrics dashboard request form
• National Tobacco Control Information System request form
• Claimsure request form
• ShareFile request form

System access request form (general form)

This form is used to grant or amend access to an information system that requires a log-in.

System access request form (Word, 35KB, 1 page)

You must complete the form in Word. Print and sign the form. Log a request ticket and attach the form through NSD Self Service

Procurement data warehouse (PDW) system request form

This form is used to get access to the PDW system.

Procurement data warehouse access request form (Word, 36KB, 1 page)

You must complete the form in Word. Print and sign the form. Log a request ticket and attach the form through NSD Self Service

Quality care metrics dashboard request form

This form is used to get access to the nursing and midwifery quality care metrics (QCM) dashboard

Quality care metrics access request form (Word, 45KB, 1 page)

You must complete the form in Word. Print and sign the form. Log a request ticket and attach the form through NSD Self Service

National Tobacco Control Information System request form

This form is used to get access to the National Tobacco Control Information System (NTCIS).

National Tobacco Control Information System request form (Word, 104KB, 1 page)

You must complete the form in Word. Print and sign the form. Log a request ticket and attach the form through NSD Self Service

Claimsure request form

Claimsure is a medical insurance claims management system. This is used by HSE hospital consultants and their secretaries. If you are a private medical secretary needing access you should return this form to the National Service service desk mailbox

Private medical secretary Claimsure access form (PDF, 22KB, 1 page)

You must complete the form in Word. Print and sign the form. Log a request ticket and attach the form through NSD Self Service

ShareFile request form

ShareFile enables you to securely share files with other users through a login.

ShareFile usage agreement and request form (PDF, 71KB, 3 pages)

You must complete the form in Word. Print and sign the form. Log a request ticket and attach the form through NSD Self Service