Standard Form 315 - Telecommunications Service Priority (Tsp) System Tsp Request For Service Users

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TELECOMMUNICATIONS SERVICE PRIORITY (TSP) SYSTEM
Form Approved
TSP REQUEST FOR SERVICE USERS
OMB No. 1630-0002
(See NCS Manual 3-1-1 for instructions before completion.)
Expires July 31, 2007
The public reporting burden for this collection of information is estimated to average 1 hour and 15 minutes per response, including the time for reviewing instructions, searching existing
data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of
this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and
Reports (1630-0002), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person
shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.
PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THIS ADDRESS. RETURN COMPLETED FORM TO ADDRESS BELOW.
1. ACTION REQUESTED (Enter applicable code) (If "C" or "D", complete Items 4, 9, 10, 11, and 12 at a minimum.)
A ASSIGN INITIAL PRIORITY FOR A SERVICE
C CHANGE TO A SERVICE, SERVICE PRIORITY, OR INFORMATION ABOUT A SERVICE
D DELETE/REVOKE A SERVICE'S PRIORITY
2. DATE SERVICE REQUIRED (MMDDYYYY)
3. SERVICE USER SERVICE ID
4. TSP AUTHORIZATION CODE (Complete below only if Action Requested in Item 1 is C or D.)
T
S
P
5. SERVICE PROFILE (List all profile elements that describe the user's level of support for the service.)
6. RESTORATION PRIORITY INFORMATION (Complete ONLY if requesting a restoration priority)
a. CATEGORY UNDER WHICH SERVICE QUALIFIES FOR PRIORITY TREATMENT (A, B, C or D)
b. CATEGORY CRITERIA UNDER WHICH SERVICE QUALIFIES
c. RESTORATION PRIORITY REQUESTED (5, 4, 3, 2, or 1)
d. PRIME VENDOR (Company Name)
7. PROVISIONING PRIORITY INFORMATION (Complete ONLY if requesting a provisioning priority)
a. CATEGORY UNDER WHICH SERVICE QUALIFIES FOR PRIORITY TREATMENT (A, B, C , D, or E)
b. CATEGORY CRITERIA UNDER WHICH SERVICE QUALIFIES
c. PROVISIONING PRIORITY REQUESTED (5, 4, 3, 2, 1, or E)
d. INVOCATION OFFICIAL'S NAME
e. INVOCATION OFFICIAL'S TITLE
f. TELEPHONE NUMBER (Area Code/Number/Extension)
g. HAS THE INVOCATION OFFICIAL AUTHORIZED
THIS ACTION? (Y or N)
h. SERVICE LOCATIONS (Street Address, Building Number, Room Number, etc.) AND 24-HOUR POINT OF CONTACT FOR EACH END
SERVICE LOCATION
i. PRIME VENDOR POINT-OF-CONTACT FOR PROVISIONING (Point of Contact Name, Telephone Number, and Company)
STANDARD FORM 315 (Revised 3/06)
AUTHORIZED FOR LOCAL REPRODUCTION
Prescribed by DHS/NCS
NCS Manual 3-1-1

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