CEPT Work Request Form Editable.pdf

SECTION I - TO BE COMPLETED BY REQUESTER

1. Requester Name & Title 2. Requestor Company Name & Address 3. Date of Request (YYYYMMDD)

4. Requestor Phone Number 5. Requestor Email Address 6. Project Name & Number

9. Work requires: o Asbuilts 10. Asbuilt format required: o Hardcopy o GIS Data o Electronic PDF o Project Site Request o Electronic CAD o Survey o CADD Design Support

11. GIS Data required: o Hardcopy ( GOV Only) 12. Digital Map format required: o PDF o SVG o GIF o PNG o Digital Map o AI o BMP o JPG o TIFF o Geospatial Data o EMF o EPS

13. Geospatial Data format required: o File Geodatabase (*.gdb) 14. Estimate hours needed for CADD design support.

o Personal Geodatabase (*.mdb) o Shapefile (*.shp)

1. Government POC Name & Title 2. Organization Office Symbol, Name & Address 3. Date of Request

4. Gov. POC Phone Number 5. Gov. POC Email Address 6. Gov. POC Signature

7. NDA/Limited Authorization for Use of Electronic Data completed: o Yes (Attach copy) o No

502d CES/CEPT Attn: Michael K. Arzate or Wayne Simoneau

2250 Engineer St. Suite 7, Bldg 4196

Joint Base San Antonio

Fort Sam Houston, TX 78234

CEPT Form 001, 20121024 MASTER FILE COPY

**Digital (electronic) requests must include a SPECIFIC list of geospatial data requested. ALL electronic data, whether GIS or CAD will be provided in its native format. 502d CES WILL NOT CONVERT FILE FORMATS. CAD data may or may not exist for requested items and/or infrastructure. Digital data transfers that exceed email capabilities (5Mb) may be transferred via the "AMRDEC Safesite" file transfer protocol site or via DVD/CD media. If a DVD/CD media transfer is required requestors are required to provide hard media (DVD/CD).

Send hard media with a prepaid return mailer to:

8. Description of request to be accomplished *, ** (See notes below) - GIS data requests must be specific in nature (i.e. road center lines data, storm sewer lines data, etc.). Requests such as "all GIS data for Fort Sam Houston" will NOT be processed.

502d CE TECHNICAL SUPPORT SECTION WORK REQUEST

SECTION II - GOVERNMENT POINT OF CONTACT (Must be completed by a PERMANENT STATUS government employee if Requestor is not government.)

*All requests have a minimum 3 day processing time. Map requests that require new cartography have a minimum 10 day processing time and require a specific description of the required map features, scale, and other information needed. HARDCOPY MAPS ARE ONLY

AVAILABLE TO MILITARY AND DEPARTMENT OF DEFENSE CIVILIANS. HARDCOPY MAPS ARE NOT PRODUCED FOR

PRIVATE CONTRACTORS.