The file's text, extracted by GovTribe without its formatting.
SYSTEM AUTHORIZATION ACCESS REQUEST NAVY (SAAR-N)
OPNAV 5239/14 (JUL 2008)
Instructions for Completing SAAR-N Form
The following is an abbreviated version of the instructions on page 4 of the SAAR-N Form.
Part I (Employee)
| TYPE OF REQUEST |
| New Employee-Initial; Existing Employee-Modification |
| DATE |
| Current date (YYYYMMDD) |
| SYSTEM NAME |
| All Government IT Systems |
| LOCATION |
| Physical location of system: building, room or cube number |
| BLOCK #2 |
| Last four digits of SS# |
| BLOCK #4 |
| e.g., HQ 7.2 IT/IM Department |
| BLOCK #7 |
| Grade, Rank, or Contractor |
| BLOCK #8 |
| Building Address |
| BLOCK #11 |
| Most recent IA Awareness Training date |
| BLOCK #13 |
| Current date (YYYYMMDD) |
Part II (Gov’t Sponsor or Supervisor)
| BLOCK #14 |
| Access to Government IT Systems are required to execute duties assigned as required. |
BLOCK #15-17
| BLOCK #17a |
| Mil, Civ – leave blank; CSS – Company Name and Contract # only |
| BLOCK #18 |
| COR signature is required |
| BLOCK #20 |
| Signature of information owner refers to [government] person approving system access (e.g., Program Manager, IAO) |
| BLOCK #21 |
| SIGNATURE OF IAO OR APPOINTEE refers to person approving system access |
Part II (Employee)
| BLOCK #25 |
| Name should be pre-populated |
| BLOCK #25a |
| Date should be pre-populated |
| BLOCK #28 |
| Current date (YYYYMMDD) |
Part III (Employee)
| BLOCK #29 |
| Name should be pre-populated |
| BLOCK #29a |
| Date should be pre-populated |
| BLOCK #32 |
| Current date (YYYYMMDD) |
Part III (Security Manager)
BLOCK #33a
| BLOCK #33b |
| e.g., Secret, Top Secret, Interim Secret |
| BLOCK #33c |
| Level I (Developers, Sys Admins); Level II (Anyone with CAC access) |
BLOCK #34
BLOCK #35
| BLOCK #37 |
| Current date (YYYYMMDD) |
Part IV (Authorized Staff)
BLOCK #38-40b
Part III of Contractor SAAR-N Forms must be completed by Facility Security Officers
Part III of Military / Government Civilian / Foreign National / Foreign Representative SAAR-N Forms must be completed by Security 7.4.1
Section IV is used for specific system access requirements. It can be left blank (optional) for general user access to NMCI, RDT&E, etc
