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FedRAMP Package Access Request Form

FedRAMP Package Access Request Form For Review of FedRAMP Security Package INSTRUCTIONS: complete this form, then print and to your Government Supervisor for review and email your signed Request Form to Information Date of Request : Agency or Department: First Name: Bureau: Last Name: Office: E-Mail Address: Phone: Alternate Phone: Select one: Federal Employee Federal Contractor If yes, what organization?: If you are a Federal contractor, please also review Attachment A: Federal Contractor Non Disclosure Agreement for FedRAMP , sign and attach to this Request . Requested Package Name of Package Requested: What is the Package ID (located on the CSP listing on )? If you are not a current customer, Access is granted for 30 days in order to properly ensure a high level of Access control and maintain proper security over the security authorization packages. Permanent Access is only granted to CSP customers.

FedRAMP Pa cka ge Access Request Form Version 6 .0 Agreem ent for Auth orized FedRAMP Approver If the user, which I am cer tif ying, leaves my agency for any reason, or transfers to a dif ferent depar tment , I

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