2875_Instructions.doc
DOC document 79 KB Posted
- Attached to
- Repair of flight display unit
- Solicitation number
- FA8538-14-R-00020
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| A003.pdf | ||
| A001.pdf | ||
| DD2875.pdf | ||
| A004.pdf | ||
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| A002.pdf | ||
| A005.pdf | ||
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Text version
DD Form 2875, System Authorization Access Request (SAAR) Instructions.
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 {FD2060(WRALC), .
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.
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, Identrust, 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 Scan and Email DD Form 2875 to 406scms.cav.af.ar@robins.af.mil Any questions, please call 478-327-6602 or 478-327-6603
Version 1 09 November 2012
File details come from the government source that posted it. Updated .