Citrix Aim Account Request Or Change Request - Aimereon

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CITRIX AIM Account Request or Change Request
The following information is to be completed by all applicants:
Last Name:
MI:
First Name:
Rank/Rate:
Type (i.e., MIL, CIV, CTR):
Phone Number:
Email Address:
Command Name/Location:
UIC:
Supervisor Name:
Supervisor Email:
DOD ID Number (10 digits, not SSN):
CAC Expiration Date:
(DDMMMYY)
For ActiveClient Users- To locate your CAC/EDI # on your PC:
1. Click on Start->Programs->ActivCard->ActiveClient-> User Console->My Personal Info
2. Scroll down to “DoD EDI Personal Identifier” for EDI #
3. Choose applicable command from drop down list at right;
4. If your command is not available, enter in 'Other' below right
AIM I/II Database Requested
New Account
Select One:
Reactivation
Other:
Application:
Please provide justification for access:
By signing you are certifying the above request is valid and all information contained within this
document is correct and verified.
Requestor Signature:
Supervisor/Sponsor Signature:
Learning Center FTS/Information Owner:
Command IAM Signature:
SAAR-N filed at command:
Yes
No
AIM Program Manager/Delegate:
For Official Use Only When Filled
Unclassified
13 Apr 2016 (Ver 6.3)

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