Ps Form 5115 - Aec Web Access Request Form

ADVERTISEMENT

AEC Web Access Request Form
This form will be used to create a Web-based account with the National Customer Support Center (NCSC) which will be utilized to
send/receive (upload/download) files for AEC business affiliations to/from the RIBBS
website. Please complete this form and return
®
via United States Postal Service
mail to the address at the bottom of this form. A representative will contact you by phone with details
®
regarding your approved access.
A. Customer Information
1. Name
2. Job Title
3. Telephone Number (include area code)
4. Company Name
5. Email Address
6. Business Address
7. Corporate HQ Location (if different from your Business Address)
B. Customer Computer Access Authorization
User Responsibility Agreement Statement: I am responsible for Logon/Logoff, all actions pertaining to the use of my assigned
logon ID, and will not provide my logon ID to another person. I agree that access to computer data or files not authorized to me is
prohibited. I understand my logon ID may be suspended indefinitely if I violate security procedures or fail to provide update informa-
tion for the information listed above whenever I change job positions. I agree that misuse of a USPS
computer system may result in
®
disciplinary action and/or criminal prosecution. I understand that any detected misuse of a computer system will be reported to the
Inspection Service.
Requester’s Signature
Date
Manager Responsibility Agreement Statement: I agree that this logon ID will be used for authorized USPS work within the scope
of my organization. I also agree that upon termination or transfer of the user, I will advise the Computer Systems Security Officer in
writing as to the disposition of the computer files and/or data and logon ID. I will periodically review the use of the assigned logon ID
and computer files and/or data.
2. Date
1. Name
4. Telephone Number (include area code)
3. Signature
NCSC Use Only
If you have any questions regarding this Web access request form, please contact the
AEC Department at 800-238-3150 or via e-mail at aec@usps.gov; otherwise, forward by
NCSC Business Affiliation
mail or fax this completed form to:
ID Assigned
AEC DEPARTMENT
NATIONAL CUSTOMER SUPPORT CENTER
Date Called Customer
Initials
UNITED STATES POSTAL SERVICE
225 N HUMPHREYS BLVD STE 501
Comments
MEMPHIS TN 38188-1001
FAX: 901-681-4582
PS Form 5115,
January 2013
Privacy Notice: For information regarding our Privacy Policy, visit

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Life
Go