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Click ‘Get Form’ to open the DD Form 2875 in the editor.
Focus on the sections highlighted in yellow. These are the only areas you need to complete.
In Blocks 2 to 5, enter your current duty location, not where the class is being held.
For Block 10, input the date of your last completed DOD IA CyberAwareness Challenge training. Ensure this date is within one year of your class start date.
Once all required fields are filled out, save your document and prepare to email it.
Email the completed form to AFIT.LSACOURSEMANAGER@afit.edu at least 14 days before your class starts, including your course name and dates in the subject line.
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AUTHORITY: Public Law 104-191; E.O. 9397 (SSAN); DoD 6025.18-R. PRINCIPAL PURPOSE(S): This form is to provide the Military Treatment Facility/Dental Treatment Facility/TRICARE Health Plan with a means to request the use and/or disclosure of an individuals protected health information.
How long is a DA form 5513 good for?
How long is a DA form 5513 Good For? This DA 5513-R will be used as a receipt to issue keys on a temporary basis (LESS THAN 30 DAYS). It will also be used for the transfer of custody of the keys between the KCC and his alternate. This form will be maintained 90 days after the last entry and then destroyed.
What are the requirements for DD 2875?
User must indicate if he/she has completed the Annual Cyber Awareness Training and the date. (11) Users Signature. User must sign the DD Form 2875 with the understanding that they are responsible and accountable for their password and access to the system(s). (12) Date.
What is a DD Form 2875 used for?
The DD2875 is required when a system is not in the DLA Account Management and Provisioning System (AMPS) and when access to external DOD systems is required. 1) The latest version of the DD2875 can be found here. 2) The latest version of the Consent to Monitor, Privileged Rules of Behavior can be found here.
How long is a DD Form 2875 good for?
How long is Form DD 2875 valid for? The form is valid until the users access is terminated or until the specified expiration date, whichever comes first. The original form must be maintained on file for one year after termination.
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What regulation covers DD Form 2875?
The Army designed the single DD Form 2875 initiative to ensure compliance with Army Regulation 25-2, which governs Army information systems and applications management.
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