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In Part I, enter your personal information. Fill in your name, employee ID, agency code, and affiliation. If you are a foreign national, include your country code.
Complete Block 5 by certifying that you have finished the DCPS Security Awareness Online Course and enter the completion date.
Move to Part II and select the database designators applicable to your payroll office in Block 6. Ensure you submit a separate form for each payroll office.
Fill in the home activity code and site activity code as required in Blocks 7 and 8. Provide your CSR name, telephone number, and email address in Block 11.
Indicate your user type in Block 12 and complete Blocks 13 through 16 with appropriate authorization types and numbers.
Sign and date the form in Blocks 17 and 18. Have your supervisor approve it by completing Blocks 19a through 19d before submission.
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