DD_FORM_2875_(SAAR)_Instructions.pdf

PDF 51 KB Posted

Attached to
C-5 Trunnion Bearings Federal contract opportunity
Solicitation number
FA8524-14-R-1395
Issued by
Department of the Air Force Materiel Command Lifecycle Management Center Robins Air Force Base

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Instructions for System Authorization Request (DD Form 2875)

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Text version

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

Version 1 09 November 2012

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

Input System Name: CAV AF

Leave Location Block blank

Part I Blocks

1 – 9 Must be filled out with user information

10 Information Assurance (IA) Awareness Training Requirements – box must be checked for all ICP users and the date entered must be within one year of this access request. (Not applicable for contractor users)

Part II Blocks

11 – 12 Sign and Date

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

Enter one of the following for User Type:

Contractor (Without GFM Options) Contractor (With GFM Options) Contractor (View Only, without GFM Options) – no reporting ability Contractor (View Only Repair & GFM Reports) – no reporting ability ICP (View Only)- Government only for PMS/IMS ICP (Manage By Contract) – Government only For CM ADMIN (Manage By Contract) – Government only For SA

14 Check “Authorized”.

15 Check “Unclassified”.

16 Check box.

16a Contractors must fill with; Company Name, Contract Number, Expiration Date, DODAAC (EZXXXX) – use block 27 if necessary. Please list every DoDAAC you require access to.

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

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

26 Same as Block 1.

Version 1 09 November 2012

27 May be blank but can be used to continue 16a.

Part III

For Repair Suppliers:

Please enter required PKI information

28- Enter: “PKI certification through: verisign, indentrust, ORC or DoD (choose one)”

28a- Enter date of investigation

28b- Leave blank

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

For Government personnel:

28- Please submit to your security manager to verify and complete

Level I: For Administrator / System Owner Level

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 both of 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) 736-2549, Send email request to:

420scms.cdmwork@tinker.af.mil

Version 1 09 November 2012

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