Standard Form 315 - Telecommunications Service Priority (Tsp) System Tsp Request For Service Users Page 2

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8. SUPPLEMENTAL INFORMATION (Provide: (1) circuit specification(s) for provisioning priority only; (2) justification for requested priority
level if higher than qualified for; or (3) justification for disapproval or priority level change in sponsorship disposition field (12e).)
9. SERVICE USER (Enter applicable code)
A FEDERAL GOVERNMENT
C LOCAL GOVERNMENT
E FOREIGN GOVERNMENT
G U.S. MILITARY
B STATE GOVERNMENT
D PRIVATE SECTOR
F OTHER
10. SERVICE USER ORGANIZATION (Dept/Agency and FIPS Code)
11. SERVICE USER POINT-OF-CONTACT (For correspondence regarding this service)
a. NAME AND TITLE
b. ORGANIZATION (Dept/Agency and FIPS Code)
c. (1) MAILING ADDRESS
(2) CITY
(3) STATE
(4) ZIP CODE
d. TELEPHONE NUMBER (Area Code/Number/Extension)
e. FACSIMILE NUMBER (Area Code/Number/Extension)
f. 24-HOUR TELEPHONE NUMBER (Area Code/Number/Extension)
g. ELECTRONIC MAILING ADDRESS
h. SIGNATURE AND DATE: I confirm this is National Security and Emergency Preparedness (NS/EP) service.
12. SPONSORSHIP INFORMATION FOR NON-FEDERAL SERVICE (To be completed by sponsor)
a. FEDERAL SPONSORING AGENCY AND FIPS CODE
b. SPONSOR NAME
c. SPONSOR TITLE
d. TELEPHONE NUMBER (Area Code/Number/Extension)
e. RECOMMENDED DISPOSITION (X one)
APPROVE
DISAPPROVE
APPROVE WITH PRIORITY LEVEL CHANGE
f. SPONSOR SIGNATURE AND DATE: I confirm this is National Security and Emergency Preparedness (NS/EP) service.
Non-Federal users: send form to your Federal Government sponsor.
Federal users or sponsors: send completed form to:
Manager, National Communications System
Attention: Office of Priority Telecommunications
701 South Court House Road
Arlington, VA 22204-2198
STANDARD FORM 315 (BACK) (Revised 3/06)

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