Instructions_for_DD_Form_2875_CAV_AF.doc

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 (Initial, Modification (have User ID (inactive), must list), Deactivate), User ID (If known) 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 MUST be met annually:

http://iase.disa.mil/eta/cyberchallenge/launchPage.htm Click on Launch new Cyberawareness Challenge Dept of Defense version (Provide Course Completion Certificate along with DD Form 2875 and AF User Agreement Statement, AF Form 4394, for account activation). Fill in completion date using training certificate date. NOTE: Following initial course completion certificate submission, thereafter all annual course completion certificates shall be sent directly to following email address: hqafmc.a4nl@us.af.mil Product Functionality Caution: To meet technical functionality requirements, this awareness product was developed to function with Windows operating systems (Windows 7, VISTA, and XP, when configured correctly) using either the Internet Explorer (IE) or Firefox browsers. Users employing another OS or browser may experience difficulties and may not be able to complete the training or print the certificate of completion. The Cyberawareness Challenge course completions is a contractual requirement and must be complied with.

11 – 12 User Digital Signature Only and Date Part II Blocks

13 - Justification input “To Access CAV AF System to meet contractual compliance requirement for reporting of Air Force assets”, plus User Type based on type of contract: contractor furnished material (CFM) or government furnished material (GFM) and inventory control point (ICP) DODAAC.

14 - Check “Authorized”.

15 - Check “Unclassified”.

16 - Check box.

16a - Contractors must fill with information for each contract being requested access to; Company Name, Contract Number, Expiration Date, DODAAC (EZXXXX) – Please use block 27 for continuation if necessary.

17 - 20b These must be completed and signed by Supervisor.

21 -25 Contractors must leave blank.

22 – 25 Signed by CAV AF IAO/IAM 26a - Same as Block 1.

27 - Continuation of block 16a contract information for requested access to, if applicable.

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 Completed and Signed by vendor FSO, Facility Security Officer or applicable equivalent Part IV Leave blank For account activation, email Cyber Awareness Certificate, completed DD Form 2875 and AF User Agreement Statement, AF Form 4394 to applicable ALC email address:

a. Warner Robins AFB, GA, (478) 327-6602 or 327-6603, email: 406scms.cav.af.ar@us.af.mil Version 3.0 15 May 2014