Appendix_S_Attachment_1_-_Information_for_CMP_Access.pdf

Attachment 1 Information Required for CMP Access

Request for Access

Provide the required information in Section A below and submit this form to the U.S. Government Points of Contact listed on the document titled “Process for Computerized Maintenance Program (CMP)

Access.” This form must be filled out, signed, and submitted by each individual who requires access. If multiple individuals from a company require access one individual may submit all of the forms, but each form has to be filled out and signed by the individual who is requesting access.

SECTION A

REQUIRED INFORMATION

1. First Name:

2. Middle Name:

3. Last Name:

4. Suffix (if applicable):

2. Phone Number:

3. Email Address:

4. By signing below I hereby state that I am a United States citizens or am a United States Green Card holder. I am making this statement truthfully and understand I am subject to the penalty of perjury if any such statements are found false.

5. Signature:

6. Date:

SECTION B

***TO BE FILLED OUT BY U.S. GOVERNMENT REPRESENTATIVE****

I concur that the individual signed above may have read only access to the United States C-20/C-37 CMP information for the aircraft serial numbers listed on the next page.

Signature: Date:

SECTION C

***TO BE FILLED OUT BY U.S. GOVERNMENT REPRESENTATIVE TO CANCEL CMP ACCESS***

The account for the individual listed in Section A above is to be closed immediately.

Signature: Date:

Aircraft S/N

MDS GAC

165093 1187 165152 1201 165153 1200

C-20F GIV 91-0108 1162 USA JBH, HI

C-20G GIV 165151 1199 USN Sigonella, Italy

70400 521 70401 542 90404 590 1944 566 1863 670

C-37A GV 166375 657 USN JBH, HI

10028 620 10029 624 10030 663 10076 645 90402 571

C-37A GV 10065 652 USAF JBH, HI

C-37A GV S/N 653 653 USCG Reagan National Airport

60500 5152 90525 5247 10550 5297

C-37B G550 1778 5034 USA JBA, MD

166376 5041 166377 5087 166378 5098

COVERED AIRCRAFT TAIL

NUMBERS SERVICE MOB LOCATION

C-20G GIV USN MCBH

C-20G GIV USMC MCBH

*C-20G GIV 165094 USN Naval Base Ventura County Pt. Mugu, CA

JBA, MD

C-37A GV USAF JBA, MD

MacDill AFB, FL

C-37A GV USAF Ramstein AB, GE

JBA, MD

C-37B G550 USNR JBA, MD

C-37A GV USA

C-37B G550 USAF

C-37A GV USAF

** C-37B (2G550 (TBD) USN Naval Base Ventura County Pt. Mugu, CA