Attachment_1_System_Authorization_Access_Request_Navy_(SAAR-N)_Instructions.doc

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United States Navy Test Pilot School Instructors
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Attachment 1 SAAR-N Instructions

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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 #4
PHONE
BLOCK #5
OFFICIAL EMAIL ADDRESS
BLOCK # 6
JOB TITLE
BLOCK #7
OFFICIAL MAILING ADDRESS
BLOCK #8
CITIZENSHIP
BLOCK #9
DESIGNATION. E.G. CONTRACTOR
BLOCK #10
Most recent IA Awareness Training date

Part II Endorsement of Access(COR)

BLOCK #11
JUSTIFICATION
BLOCK #12
TYPE OF ACCESS
BLOCK #13
TYPE ACCESS
BLOCK #14
VERIFICATION OF NEED TO KNOW
BLOCK #14a
Company Name and Contract # , expiration date of contract
BLOCK 15-16b
COR ONLY
BLOCK #17-17b; 18-21
leave blank

Part II (Employee)

BLOCK #22
Read Carefully
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 #27
VERIFIED BY
BLOCK #28
PHONE NUMBER OF BLOCK 27 POC
BLOCK #36
FSO SIGNATURE
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 1

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