Fillable Citrix Account Request Or Change Request Form (Page 2 of 2) in pdf

Citrix Account Request Or Change Request Form Page 2

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CITRIX Account Request Form Instructions

NOTE: CITRIX access requires a SAAR-N form on file at the command/unit with which you are affiliated.

If you do not yet have a SAAR-N form on file, contact the government sponsor or contracting officer for

additional guidance.

1. Upon approval by user’s Supervisor, users should complete and digitally sign the form in the REQUESTOR’S

SIGNATURE box.

Ensure the form is filled out completely: Name, phone, email, site, command, address, supervisor’s name and phone,

enter a 10 digit CAC EDI number and full expiration (mm/dd/yyyy)

2. Choose new account or re-activation; identify the application user requests access for

3. Provide brief justification for access.

4. User must digitally sign form and send via encrypted email to their Government supervisor/sponsor for verification and

signature subject line reading: Account Request: CITRIX – [Insert Application Name Here, i.e., AIM] – ‘Command/Center/Unit’ –

'Last name of user.'

5. Government supervisor/sponsor digitally signs the form (SUPERVISOR/SPONSOR SIGNATURE) and

forward via encrypted email using subject line above to the Command IAM along with the SAAR-N, as applicable.

6. Command IAMs verifies the user’s data (IA Awareness Training, SAAR-N, CSWF, as applicable) and retains the user’s SAAR-N

at the command if not already on file.

Command IAM digitally signs and forwards only the CITRIX form via encrypted email to the Program

Manager/Delegate at deana.broadway@navy.mil and michael.matzko@navy.mil.

8. The Program Manager/Delegate digitally signs and forwards the CITRIX form only via encrypted email to the following

NETC Help Desk technicians:

Jacqueline.m.acosta.ctr@navy.mil, Jon.a.hernandez@navy.mil, and Albert.thompson@navy.mil

with subject line reading: Account Request: CITRIX – [Insert Application Name Here, i.e., AIM] – ‘Command/Center/Unit’ –

'Last name of user’.

9. Any questions please contact the Program Manager/Delegate at deana.broadway@navy.mil and michael.matzko@navy.mil

and seek assistance.

Version 3

For Official Use Only When Fille

28 January 2015

Unclassified

Citrix Account Request Or Change Request Form Page 2

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