2875 Instructions Contractor Users.pdf

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Attached to
Repair of the TTU-415 Environmental Sensor Test Set
Solicitation number
FA8523-20-R-0003
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DD Form 2875, System Authorization Access Request (SAAR) Instructions for Contractor Users.

Note: Completion of all blocks is mandatory on the DD Form 2875 unless otherwise noted:

Header

Select Type of Request

Input Date, use YYYYMMDD format

System Name: CAV AF

Location: Wright-Patterson AFB

Part I Blocks

1 – 9 Must be filled out with user information.

10 Information Assurance (IA) Awareness Training Requirements – go to http://iase.disa.mil/eta/

11 – 12 Sign and Date

Part II Blocks

Justification input “To Access CAV AF System”, plus User Type and ICP DODAAC.

14 Check “Authorized”.

15 Check “Unclassified”.

16 Check box.

16a Contractors must fill with; Company Name, Contract Number, Expiration Date, DODAAC (EZXXXX) – Please use block 27.

17 - 20b These must be completed by their Supervisor.

21 -25 Contractors must leave blank.

21 - 21b Will be completed in full by ICP System Administrator.

26a Same as Block 1.

27 Enter requested contract numbers and contract DODAAC for access. Also to be used to for continuation of 16a.

Version 1 09 November 2012 http://iase.disa.mil/eta/

DD Form 2875, System Authorization Access Request (SAAR) Instructions for Contractor Users.

Part III

For Repair Suppliers:

Please enter required PKI information

28- Enter: “PKI certification through: (EX: VERISIGN, INDENTRUST, ORC, or DoD)

28a- Enter date of investigation

28b- Leave blank

28c Check Level II or Level III based on below:

Level II: Read / Write type access normally for government contract monitors/ and contractors

Level III: Read only access for view only access

29-32 Leave blank

Part IV Leave blank

Email DD Form 2875 to the respective System Administrator POCs listed below.

a. Warner Robins AFB, GA, call (478) 327-6602 or 327-6603, or send email request to:

406scms.cav.af.ar@robins.af.mil.

b. Hill AFB, UT, call (801) 777-4803.

c. Tinker AFB, OK, call (405) 739-3229, Send email request to:

420.SCMS.Tinker.CDM.Workflow@us.af.mil

Version 1 09 November 2012

File details come from the government source that posted it. Updated .