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SYSTEM AUTHORIZATION ACCESS REQUEST NAVY (SAAR-N)
OPNAV 5239/14 (Rev 9/2011) Instructions for Completing SAAR-N Form
The following is an abbreviated version of the instructions included with the SAAR-N Form.
Part I (Employee)
| TYPE OF REQUEST |
| New Employee-Initial; Existing Employee-Modification |
| DATE |
| Current date (DDMMMYYYY) |
| SYSTEM NAME |
| BE SPECIFIC. E.G NMCI |
| LOCATION |
| Physical location of system: building, room or cube number |
| BLOCK #1 |
| NAME: LAST, FIRST, MI |
| BLOCK #2 |
| ORGANIZATION. E.G. VX-20 |
| BLOCK #3 |
| OFFICE SYMBOL. E.G. 5.1.3.4 |
| BLOCK #5 |
| OFFICIAL EMAIL ADDRESS |
| BLOCK #7 |
| OFFICIAL MAILING ADDRESS |
| BLOCK #9 |
| DESIGNATION. E.G. CONTRACTOR |
| BLOCK #10 |
| Most recent IA Awareness Training date |
Part II Endorsement of Access(COR)
| BLOCK #14 |
| VERIFICATION OF NEED TO KNOW |
| BLOCK #14a |
| Company Name and Contract # , expiration date of contract |
| BLOCK #17-17b; 18-21 |
| leave blank |
Part II (Employee)
| BLOCK #23 |
| Name should be pre-populated |
| BLOCK #24 |
| MEMBER SHOULD SIGN |
| BLOCK #25 |
| DATE OF SIGNATURE (DDMMMYYYY) |
Part III Security Manager (FSO)
| BLOCK #26 |
| TYPE OF INVESTIGATION e.g., SSBI |
| BLOCK #26a |
| DATE OF INVESTIGATION (DDMMMYYYY) |
| BLOCK #26b |
| CLEARANCE LEVEL e.g., Secret, Top Secret, Interim Secret |
| BLOCK #26c |
| IT LEVEL ACCESS Level I (Developers, Sys Admins); Level II (Anyone with CAC access) |
| BLOCK #28 |
| PHONE NUMBER OF BLOCK 27 POC |
| BLOCK #37 |
| Current date (DDMMMYYYY) |
Part IV (Authorized Staff)
BLOCK #31-33b
Section IV is used for specific system access requirements. It can be left blank (optional) for general user access to NMCI, RDT&E, etc
Attachment 4
