SYSTEM AUTHORIZATION ACCESS REQUEST (SAAR)

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SYSTEM AUTHORIZATION ACCESS REQUEST (SAAR)PRIVACY ACT STATEMENTExecutive Order 10450, 9397; and Public Law 99-474, the Computer Fraud and Abuse record names, signatures, and other identifiers for the purpose of validating the trustworthiness of individuals requestingaccess to Department of Defense (DoD) systems and information. NOTE: Records may be maintained in both electronicand/or paper of this information is voluntary; however, failure to provide the requested information may impede, delay orprevent further processing of this OF REQUESTINITIALMODIFICATIONDEACTIVATEDATE (YYYYMMDD)PART I (To be completed by Requestor)1. NAME (Last, First, Middle Initial)2. ORGANIZATION3. OFFICE SYMBOL/DEPARTMENT8. CITIZENSHIP6. JOB TITLE AND GRADE/RANK4. PHONE (DSN or Commercial)PART II - ENDORSEMENT OF ACCESS BY INFORMATION OWNER, USER SUPERVISOR OR GOVERNMENT SPONSOR (If individual is acontractor - provide company name, contract number, and date of contract expiration in Block 16.)

SYSTEM AUTHORIZATION ACCESS REQUEST (SAAR) PRIVACY ACT STATEMENT ... File may be maintained by the DoD or by the Customer's IAO. Recommend file be maintained by IAO adding the user to the ... AND CONSENT PROVISION FOR ALL DOD INFORMATION SYSTEM USER AGREEMENTS By signing this document, you acknowledge and consent that when …

  Customer, Access, Authorization, Consent, Authorization access