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DD FORM 2875 - SYSTEM AUTHORIZATION ACCESS …

DD form 2875 - SYSTEM AUTHORIZATION ACCESS REQUEST SAAR "RED" Fields are MandatoryPRIVACY ACT STATEMENT AUTHORITY: Executive Order 10450, 9397; and Public Law 99-474, the Computer Fraud and Abuse Act. PRINCIPAL PURPOSE: To record names, signatures, and other identifiers for the purpose of validating the trustworthiness of individuals TYPE OF REQUEST SYSTEM NAME (Application Platforms)TC-AIMS II PART I (To be completed by Requestor 1. NAME (Last, First, Middle Initial)3. OFFICE SYMBOL/DEPARTMENT5. OFFICIAL E-MAIL ADDRESS USER IDDATELOCATION2. ORGANIZATION 4. PHONE (DSN and/or Commercial)6. JOB TITLE AND GRADE/RANK7. OFFICIAL MAILING ADDRESS8. CITIZENSHIP9. DESIGNATION OF PERSON10. IA TRAINING AND AWARENESS CERTIFICATION REQUIREMENTS (Complete as required for user and/or functional level ACCESS .) D I have completed annual Information Awareness training.)

Preference UICs: subordinate units to the user’s Responsible UIC Preference Jobs: define the level of access or capability granted to the user within different categories of the TC-AIMS II applications. You must have approval from AMIS before choosing Preference Jobs that begin with double asterisks (**). Use the Job

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  Form, System, Access, Authorization, 8752, Subordinate, Form 2875 system authorization access

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