Fillable Onesaf Ide Account Request Form (Page 3 of 3) in pdf

INSTRUCTIONS

This form is for requesting a OneSAF IDE account. External users (only

viewing access to OneSAF IDE websites) need only submit this form.

C. PART III: Approval to create or modify the user account. This

Internal users (access to the full range of OneSAF IDE network

section is completed by the OneSAF Program Government personnel to

services) will submit this form and a signed OneSAF IDE Acceptable

indicate approval to create or modify the user account.

Use Policy. The request should be digitally signed with a CAC card.

The completed material is sent to the OneSAF Program via email to

(21) Signature of Information Owner/OPR. Signature of the person

usarmy.orlando.peo-stri.list.OneSAF-IT@mail.mil.

responsible for approving access to the system.

A. PART I: The following information is provided by the user when

(21a) Phone Number. Telephone number of approver.

establishing or modifying their account.

(21b) Date. The date the approver signs the form.

(1) Name. The last name, first name, and middle initial of the user.

(2) Organization. The user's current organization (i.e. DISA, SDI, DoD

(22) Signature of Information Assurance Security Officer (IASO) or

and government agency or commercial firm).

Appointee. Signature of the IAO or Appointee of the office

responsible for approving access to the system being requested.

(3) Office Symbol/Department. The office symbol, if any, within the

current organization (i.e. SDI).

(22a) Phone Number. IASO telephone number.

(4) Telephone Number/DSN. The commercial and Defense Switching

(22b) Date. The date IASO signs the form.

Network (DSN) phone number of the user (if available).

(5) Official E-mail Address. The user's official e-mail address, i.e. the

(27) Optional Information. This item is intended to add additional

DoD Enterprise (mail.mil) email address for the user.

information, as required.

(6) Service Requested:

D. PART IV: IDE Facility Validation of Clearance Information. IDE

• Enter “OneSAF IDE Web Access” - if the request is only for viewing

Facility confirms clearance level is appropriate for the level of access

access to OneSAF IDE websites (i.e. the devsite and the RT tool)

requested.

as an external user.

(29) Verified By. The Security Manager or representative prints his/her

• Enter “OneSAF IDE Internal User” - if the request is for access to

name to indicate that the user has the appropriate clearance.

the full range of OneSAF IDE network services.

(30) Security Manager Telephone Number. The telephone number of

(7) Official Mailing Address. The user's official mailing address.

the Security Manager or his/her representative.

(8) Citizenship (US, Foreign National, or Other).

(31) Security Manager Signature. The Security Manager or his/her

(9) Designation of Person (Military, Civilian, Contractor).

representative indicates that the above clearance and investigation

information has been verified.

(10) IA Training and Awareness Certification Requirements. User must

indicate if he/she has completed Annual Information Awareness

(32) Date. The date that the form was signed by the Security Manager

Training (e.g. DoD Cyber Awareness Training) and the date.

or his/her representative.

(11) User's Signature. User must sign the form with the

E. PART V: This information to be completed by OneSAF IDE IT

understanding that they are responsible and accountable for

personnel.

access to the system.

(12) Date. The date that the user signs the form.

F. DISPOSITION OF FORM:

B. PART II: Endorsement on the need for an account. This section is

TRANSMISSION: Form may be electronically transmitted via email.

completed by the requestor’s Government supervisor for a

Government employee or the Government sponsor for a contractor.

FILING: Account request is maintained on file by the OneSAF IDE

Both are referred to as “Sponsor” in this document.

for the period specified in the account management policy.

(13). Justification for Access. A brief statement is required to justify

establishment of an initial account. Provide appropriate information if

the account or access to the current account is modified.

(16) Expiration Date for Access. The user must specify company

name, contract number, and expiration date of the contract.

(17) Sponsor Name (Print Name). The sponsor prints his/her name to

indicate that the above information has been verified and that access is

required.

(18) Sponsor Signature. Sponsor’s signature is required by the

endorser or his/her representative.

(19) Date. Date sponsor signs the form.

(20) Sponsor’s Organization/Department. Sponsor’s organization and

department.

(20a) E-mail Address. Sponsor’s e-mail address.

(20b) Phone Number. Sponsor’s telephone number.

Onesaf Ide Account Request Form Page 3

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