TE_1-013_DPW__Network_Access.doc

Contract Number: TECHNICAL EXHIBIT 1-013 Network Access/ CAC Card Checklist

PSIP Requester Guide Updated

Date:_____________________ PSIP Required Information Worksheet

Once this worksheet is submitted to PSIP you will have only 5 days to complete the E-QIP

Rank/Prefix (Dr.,Ms.,Mrs.,Mr.):__________ Last Name:__________________________ Middle Intial:_________

First Name:_________________________________ Postfix/Suffix (i.e.: II, III, Jr.):______________

Birth Date:_____________________ City of Birth:_______________________ State of Birth:____________ (mm/dd/yyyy) Country of Birth:_____________________________ SSN:___________ _______________

US Citizenship Proof: Birth Certificate / Certificate of Citizenship-INS / Certificate of Naturalization / DS-1350 /

FS-545 / Active Passport / FS-240 Documentation Number:__________________________________________

Investigation Information:

Role: Military / Civilian / Contractor Clearance Required: Top Secret / Secret / Suitability / PRP / none

IT Level: I / II / III / none (Hint: Normal users are “III”) Periodic Reinvestigation: yes / no

SOI: A029 __ IPAC Code:____________________ Branch of Service:___________________________

Expedite Request? Yes / No Justification:______________________________________________________

Fingerprints Submitted: None / Electronic / Manual Date Submitted: ____________________________

Subject Contact Information:

Email Address for AKO:_____________________________________________________________________

Secondary Email Address:__georgina.meroney.ctr@us.army.mil______________________________________

Primary Phone:_________________________________ Secondary Phone:____________________________

Type of Phone numbers:________________________ Type of Phone numbers:________________________

Organization/Unit Name:_____________________________ Organization/Unit UIC:__________________

Contract number: __________________________________________________________________________

COR Contact Information Rank/Prefix: __Mr.___ First Name: _Walter____________________ Last Name:_Wright_________________

Email Address:_walter.wrightsr@us.army.mil__________ Phone number:_706-545-6890____________________ Contract Number: TECHNICAL EXHIBIT 1-013

IMSE-BEN-PWT

Date:

SUBJECT: Information needed for Suitability & TASS Investigation Request for DA Contractor

Employee Data:

FULL NAME:

SSN:

Date State and Country of Birth:

JOB TITLE:

ORGANIZATION:

E-Mail address:

Contact Date & Number:

Contract Number: TECHNICAL EXHIBIT 1-013

In order to obtain Network Access & CAC you must follow the instructions below. Once the checklist is completed, and your supervisor has sent the network access request bring the checklist and your CAC card back to the Security office in (Bldg 6, Room 314) for activation.

_____ Obtain AKO account

Please write in your AKO email account: @us.army.mil You must turn in a Visit letter before you can gain network access (an Example is attached in this packet).

_____ Visit Letter (Required for all employees)

_____ A certified birth certificate or your active passport

_____ Copy of your job application

_____Declaration For Federal Employment Form-306

Once you have completed these steps go to G2 in Bldg 2892. To get your finger prints done NO appointment needed.

To be completed by a G2 Employee only

G2 Name:

G2 Signature:

_____ After you completed the SF85 forms you will need to call 706-545-3280 and make an appointment to come to bldg 6 rm 314 to get into your AKO e-mail. The e-mail will have the information in it to fill out the SF85 on line.

(After the PSIP is submitted and your get your e-mail you will only have 120 hours or 5 days which does includes weekends and holidays to complete the SF85 form on line)

Next you will need to make an appointment with Walter Wright (TA for DPW Bldg 6 Rm 331, phone 545-6890 ), to show him the completed checklist for him to enter your information into TASS to request your CAC.

After meeting with Walter Wright (DPW TA), you will need to login into AKO, and look for an email from the TA, stating that you need to proceed to the nearest ID card facility.

_____ Make an appointment with the ID section at Soldiers Plaza located in Bldg 2638, 706-545-4068 _____ Once you receive your CAC, inform your supervisor that you are ready to request network access.

Your supervisor will need to fill out the new DD2875 and e-mail it to (georgina.meroney.ctr@us.army.mil). You will need to call 706-545-3620 and set up an appointment to finish the process. Them go to bldg 6 Rm 314 to have your CAC registered and sign your Network Access request form.

_____ You must have taken the IA Training and the IA test and passed the test with a 70 or higher. This training is location on the Fort Lee website. You will find the website address in the hand out that you were given. If you have not taken the training when you come to bldg 6 rm 314 for network access you can take the training and test then. You will also have to register at ATCTS which is and NEC requirement.

Example Visit Letter

(Must be on your company Letter Head) (Must be the original from your company)

Environmental Group LLC.

Visit Authorization Letter

PLACE TO VISIT

Commander USAIC

Attn: Mr. Joe Doe

Fort Benning, GA 31905-5000

Voice (706) 545-0000

THROUGH

ECW Environmental Group, LLC

Attn: Mr. John Doe 222 South Street Suite 111

Voice: (706) 545-1111

New York, NY 00000

Fax: (111)545-3333

VISITOR INFORMATION

Authorization is requested for the following US citizen employees of ECW Environmental Group, LLC to conduct contract work at Fort Benning Georgia.

Name:

SS#:

DOB:

POB:

Date of Visit:

Contract Number:

Purpose of Visit: To provide professional support for Fort Benning’s ISO 14001

EMS/Sustainability Management System and planning

REQUEST FOR THE VISITATION LISTED ABOVE:

1. Access to government equipment.

2. Network and e-mail accounts on the installation network infrastructure.

3. GSA vehicle access.

John Doe Visit Authorization Approval

ECW Environmental Group, LLC Joe Doe

President Chief. EMD 222 South Street Suite 111 New York, NY 00000 Ph (706) 545-1111 Fax (706) 545-3333 e-mail ECW Environmental Group, LLC.com