CAVII_01.doc

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Repair of Receiver, Radio Processor
Solicitation number
FA8539-09-R-21295
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Instructions to DD 2875

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Instructions for DD Form 2875

Note: Make sure you have APR 2005 version of form. If you have any questions about the form please call Donna Allred at 478 327-6602. Once the form is completed and signed it can be faxed to Donna Allred at 478 926-4241 or a signed scanned copy can be sent to donna.allred@us.af.mil.

TYPE OF REQUEST: INITIAL

DATE: CURRENT DATE

SYSTEM NAME: CAV II

LOCATION: LEAVE BLANK

PART 1

COMPLETE BLOCKS 1 – 10: PLEASE MAKE SURE TO INCLUDE YOUR SOCIAL SECURITY NUMBER.

BLOCK 11 & 12: MAKE SURE FORM IS SIGNED AND DATED

PART 2

BLOCK 13: TO INPUT CAV II TRANSACTIONS IAW CONTRACT. INCLUDE CONTRACT NO. HERE IF YOU HAVE IT.

BLOCK 14: AUTHORIZED

BLOCK 15: UNCLASSIFIED

BLOCK 16 & 16A: LEAVE BLANK

BLOCK 17 – 20B: HAVE SUPERVISOR COMPLETE. MUST BE SIGNED BY SUPERVISOR

BLOCK 21 – 26: LEAVE BLANK

PAGE TWO: COMPLETE PART 3 IF CONTRACTOR HAS A SECURITY OFFICER TO COMPLETE INVESTIGATION AND CLEARANCE LEVEL.

FOR DCMA – PART III HAS TO BE COMPLETED BY SECURITY OFFICE.

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