Tiburon Access Request Form
Authorized personnel or supervisor must submit this form on behalf of employee for access to Tiburon. Please note: once the request has been submitted, it will automatically generate a ChangeGear ticket to facilitate the request.
Authorization Information
Authorized Personnel/Supervisor Name:
*
First Name
Last Name
Employee First & Last Name:
*
First Name
Last Name
Employee Middle Name:
*
Please fill in "NMI" if there is no middle name
Email:
example@example.com
Department:
*
Please Select
Sheriff's Office
Community Supervision and Corrections
Constable 1
Constable 2
Constable 3
Constable 4
Constable 5
Counseling and Education
County Attorney
County Auditor
County Clerk
Criminal Justice Planning
Criminal courts
District Attorney
District Clerk
District Courts
Domestic Relations Office
Drug Court
Fire Marshall
Information Technology Services
Justice of Peace 1
Justice of Peace 2
Justice of Peace 3
Justice of Peace 4
Justice of Peace 5
Juvenile Court
PreTrial services
Tax Assessor-Collector
Position (Title of Employee):
*
Phone Number (Office/Cell):
*
Please enter a valid phone number.
Phone Extension:
Type "N/A" if not applicable
Who coordinated/conducted the CJIS clearance?
*
Please Select
Steve De Avila - Constable, Pct 1
Tonya Nixon - Constable, Pct 1
Kenneth Guerrero - Constable, Pct 2
Andrea McGee - Constable, Pct 2
Greg Paiz - Constable, Pct 2
Leann Perrow (TAC) - Constable, Pct 3
Jose Hernandez - Constable, Pct 3
George Morales - Constable, Pct 4
Gabe Padilla - Constable, Pct 4
Jay Miller - Constable, Pct 4
Charles Lanterman - Constable, Pct 5
Corey Bryks - Counseling & Education Srv
Lucio Del Toro - County Attorney
Don Castiglioni - County Attorney
Pete Cortez - County Attorney
Brent Ryan - County Attorney
Christopher Flanagan - County Auditor
John Gomez - County Auditor
Scott Flom - County Clerk Office
Isabelle Royal - Court Admin IT
Jennifer Kraber - Court Admin IT
Daniel McCoy-Bae - CSCD - Adult Probation and Pretrial
Kenneth Evans (TAC) - District Attorney
Vicki Butcher (TAC) - District Attorney
Victor Jauregui - District Clerk ITS
Gary Howell - Emergency Services (Fire Marshal)
David Padula - Emergency Services (Fire Marshal)
Laura Villafranca - FMD
Stephanie Gonzalez - FMD
Claudia Garcia - FMD
Shari Campos-Lopez - ITS
Kitzy Daniels - Justice of the Peace, Pct 1
Gina Cluck (TAC) - Justice of the Peace, Pct 2
Beckie Garza - Justice of the Peace, Pct 3
Kelly Kinsinger - Justice of the Peace, Pct 4
Emily Miller - Justice of the Peace, Pct 5
Kris Johnson - Juvenile Probation
Victor Valdez (TAC) - Juvenile Probation
Daniel McCoy-Bae - Pretrial Services
Ruben Reyes - Tax Collector
Leah Stubbs - Travis County SO
Pam Pierce (TAC) - Travis County SO
If "other" is selected, please provide the name of the person who cleared the CJIS:
Access Request Details & Technical Identification
I am requesting access to the following. Select all that apply:
*
Counseling and Education Access
IDB Access
Pretrial Access
Sheriff's Access
Texas Crime Information Center (TCIC) / National Crime Information Center (NCIC)
Tiburon User ID / OPER ID:
Who to Mirror/Mimic access:
Include OPER ID
Tiburon Terminal Workstation ID:
Computer Asset Tag Number:
First three letters of the department tag number
Request for Access to Texas Crime Information Center (TCIC) & National Crime Information Center(NCIC)
When requesting TCIC/NCIC access, Tiburon OPER ID, DPS# and Workstation ID are required.
Does the terminal workstation listed above currently have TCIC/NCIC access?
Yes
No
Unknown
Agency ORI:
DPS Number or DPS ID:
Request for Access to the Sheriff's Office Tiburon System
When requesting Sheriff access, DPS user ID and Tiburon User ID are required.
Select which TLETs access you are requesting:
All state formats (@STREG)
CCH Inquiry (@CCH)
Select which Corrections System access you are requesting:
Corrections Main (@MAINO)
Corrections Main-Investigator (@MAINI)
Reports & Utilities (@REPTS)
Select which Warrant System access you are requesting:
Warrant Inquiry (@WARRI)
Warrant Entry (@WARRU)
Select which Incident System access you are requesting:
Incident entry file; Inquiry only (@IINCO)
General Inquiries-Browser searches (@WRMS)
ARS-Automated Reporting System; Inquiry only (@ARSPI)
Traffic Management; Inquiry only (@TRFI)
Detective level entry access into ARS (@ARSPB)
Detective level entry access into RMS (@IINCU, @ICASI, @ICASU)
Submission Date
-
Month
-
Day
Year
Date
Submit
Should be Empty: