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System Access Request (SAR)
Reserved Area DLA Transaction Services
GEX System Access Request

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Read our Privacy Act Statement before completing this form.
 
SARs are processed immediately upon receipt although delays may occur because of backlogs or a pending request for a sponsorship letter for contractor requested SARs.
 
Per DLA policy, a user sharing their user ID and password with another person(s) constitutes a security violation. Improper identification of a user, such as identifying a contractor as a Government employee, is also a security violation. Upon detection of these situations, the client administrator will revoke the user's access immediately and conduct an investigation.

By submission of this System Access Request (SAR) you agree to comply with all DLA system policies, including the DLA Rules of Behavior.

 
Fields marked with an * are required.
* Please check if you are a United States Citizen: Yes     No
* Are you enlisted in the US Military? Yes     No
* Are you under contract to a foreign government and
   working on the behalf of that foreign government? Yes     No  
 
Requestor Information:
* First Name:    MI:    * Last Name:
 
* Complete Name and Mailing Address of Duty Station (NO Abbreviations):
  
  
  
  
   APO/FPO:
   * City:
     State:     Province:
   * Country Code:
   ZIP + 4:
 
Office Symbol:
* Category of Activity:   Contractor
                                        Civilian          *
                                        US Military    *
                                        Other

 
Telephone Number (DSN)
      Country Code:    Number:    Extension:
 
* Telephone Number (Commercial)
      Prefix:    Country Code:
      Area Code:    Number:    Extension:
 
   
* Official EMAIL Address:  
 

* 10 digits Electronic Data Interchange Personal Identifier Number:  

* Date of Birth:   (Click calendar icon to select date)  

* Cyber Awareness Certificate Date:   (Click calendar icon to select date)  

Authority: 5 U.S.C. 301, Departmental Regulations; 10 U.S.C. 133, Under Secretary of Defense for Acquisition, Technology, and Logistics; 18 U.S.C. 1029, Access device fraud; E.O. 10450, Security Requirements for Government Employees, as amended; and E.O. 9397 (SSN), as amended.

Principal Purpose(s): Information is used to validate a user's request for access into a DLA system, database or network that has its access requests managed by Defense Automatic Addressing System (DAAS).

Routine Uses: Data may be provided under any of the DoD 'Blanket Routine Uses' published at this location.

Disclosure: Disclosure is voluntary; however, if you fail to supply all the requested information you will not gain access to the DLA DAAS applications. Your identity / security clearance must be verified prior to gaining access to the DAAS applications, and without the requested information verification cannot be accomplished.

Rules of Use: Rules for collecting, using, retaining, and safeguarding this information are contained in DLA Privacy Act System Notice S500.55, entitled 'Information Technology Access and Control Records' available at this location. 
 
 
  * GEX Account Type:
      SFTP
      HTTPS
      MQ
      Citrix Access/Desktop
      Citrix Access/GUI Query Only
      Other (explain in Reason for Requesting GEX below)
 
Contract Number:
Contract Beginning Date:  (MM-DD-YYYY)
Contract Ending Date:      (MM-DD-YYYY)
 

* Reason for Requesting GEX:
 
 
 
* Name of Automated Information Systems (AIS) or application that you support:
    
 
Security Officer Information:
* First Name:    * Last Name:
 
* Security Title:
 
Security Telephone Number (DSN)
   Country Code:    Number:    Extension:
 
* Security Telephone Number (Commercial)
   Prefix:    Country Code:
   Area Code:    Number:    Extension:
 
Security FAX Number (DSN)
   Country Code:    Number:
 
* Security FAX Number (Commercial)
   Prefix:    Country Code:
   Area Code:    Number:
 
* Security Email:  
 
 
CONTRACTOR SPONSORSHIP REQUIREMENTS
Contractors requesting access to must be sponsored by their U.S. Government Contracting Officer (KO) or Contracting Officer's Representative (COR). A SAR is required for each contractor user. In addition to a SAR, the KO or COR must provide a letter on their official activity letterhead that includes the KO or COR signature and KO or COR title in the signature block and the following information:
 
- Customer Name
- Telephone Number
- Email Address
- Contract Number
- Commercial and Government Entity (CAGE) Code of company
- Contract beginning and ending dates
- Company name, address, city, state and zip code
- KO or COR phone number and email address
- List of data contractor needs to meet contract requirements and why data is needed
 
- Email Sponsorship Letter to ADPValidate@dla.mil for SAR or Fax to 937-656-3801.

 
Failure to Submit a SAR or incomplete information in the letter, including signature and KO or COR title in the signature block, will result in further delay.