Att_17.2-_AIMDNet_New_User_Account_Request.pdf

U.S. Navy AIMDNet - New User Account Request

Please read and follow instructions carefully:

Access is granted to Foreign Nationals based upon the status of any agreement/contract with their employer or between the Department of Defense and their country of citizenship. Additional documentation may be required depending upon the data being disclosed. You must provide your country of citizenship in the space provided below.

Save completed form as your_name_AIMDNet.pdf and email to jeffrey.j.ritchie@navy.mil

Citizenship

US Other (Specify):

1. North America phone numbers must include area code. International phone numbers must include country code and city code. If an extension is required, place after main number, preceded by ‘X’. For example, (904) 555-1212 X12345, or for international 011-44-01179-111111 X12345.

2. Your primary email must be a military or government account, if possible (navy.mil). If you are a contractor and do not have a .mil or .gov email account, then it must be your corporate domain. AIMDNet cannot communicate to you using a public domain, such as Gmail or Yahoo.

3. If you have a .mil or .gov listed as your primary email and you are a contractor, you can list your corporate email here. As with primary emails, AIMDNet cannot communicate to you using a public domain, such as Gmail or Yahoo.

Additional Usage Requirements

Is the new user part of the

No Yes

TD Verification process? Does the new user require access to any CDRLs?

No Yes List:

Will this user be an Action Tracker team member?

No Yes Teams:

Is the new user responsible for reviewing CDRLs?

No Yes List:

Will this user be an Action Tracker team lead?

No Yes Teams:

Is the new user responsible for delivering CDRLs?

No Yes List:

To access AIMDNet, you must possess a valid DoD-issued Computer Access Card (CAC) or a PKI certificate obtained from a DoD-approved External Certification Authority. Please sign this form with the digital certificate you will use to access AIMDNet.

Name:

Digital

Signature:

Work Location (mailing address)

Location Name:

Address 1:

Address 2:

City:

State:

Zip:

country:

Name and Phone Numbers

Last Name:

First Name:

Middle Initial:

Work Phone

Alternate Phone

FAX Number

Primary Email

Alternate Email

Business Purpose for This Account

Contractor

Company:

Title:

Manager:

Contract Number:

Government sponsor Digital Signature:

Government

Organizational Unit:

Department:

Title/Position:

Manager/Supervisor:

Military Branch: Rank:

mailto:jaxs_gosnet@navy.mil