TE-P-ICIDS CCTV Addition Removal Request.pdf
PDF 1 MB Posted
- Attached to
- FY 2026 ICIDS MAINTENANCE MONITORING AND REPAIR
- Solicitation number
- W911S826RA017
About this file
This is a Memorandum for Record template used for documenting the activation or deactivation of DES ICIDS (Integrated Facility Intelligence and Data System) equipment and associated accounts within federal facilities.
The form captures administrative details for adding or removing ICIDS/CCTV equipment, including building number, room location, unit identification, and account type designation (AA&E, SCIF, COMSEC, or Other). It requires specification of project context through MILCON project number or contract number. The template documents equipment specifications such as RTU (Remote Terminal Unit) serial numbers and ACU6 (Access Control Unit 6) identifiers, along with activation or deactivation dates. Administrative tracking includes notation of server deletion status (encrypted or unencrypted), VLAN23 port assignments, and ComSwitch configuration details. The form requires confirmation of whether supporting documentation was created or deleted, including software account information, hard folders, and O&M/Submittal Packages, with space for explanatory notes on each. A Physical Security approval section on page two requires approval or disapproval authorization with date stamp, reason for any disapproval, Contracting Officer Representative (COR) signature and date, and additional remarks. This template is designed for internal federal facility management and security documentation purposes.
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Text version
Memorandum for Record
From:
To:
Date:
Subject: ICIDS/CCTV Equipment and Account: Addition / Removal
1. DES ICIDS equipment and account Activation (added) / De-activated (removed) for the following account:
Building no.: Room #:
Unit (if known):
Type account: AA&E : __ SCIF: __ COMSEC:__ Other :
Project Type: MILCON PN: _________ Other Contract#: _________ _
Deleted from Server: Encrypted: __ Unencrypted: __ VLAN23 Port#: __ ComSwitch#: ____ _
Equipment Added / Removed;
RTU(s): Serial Number(s):
ACU6:
Date to be Activated/ De-activated: _____ _
Software Account required information created / deleted: (Y) __ (N)
Explain: _________ _
Hard Folder created / deleted: (Y) __ (N) Explain:. ___________ _
O&M/Submittal Package: Submitted / Archived : (Y) __ (N) Expain: ___________ _
Remarks: ________________________________ _
For use by Physical Security:
_Approved
_ Disapproved
Date: _____ _
Reason for disapproval: _____________________________ _
COR: ____________________ Date: _______ _
Remarks: -----------------------------------
File details come from the government source that posted it. Updated .