WSMR DECSYSTEM-20 USERID REQUEST AND DIALUP AUTHORIZATION _______________________________________________________________________________ 1. Requested Action (check one) | 2. Printed Name of User __ __ __ | |__| NEW |__| CHANGE |__| CANCEL | ------------------------------------------------------------------------------- 3. Organization Name and Mailing Address: | 4. Phone | a. Commercial | | | |------------------ | | b. AUTOVON | | ------------------------------------------------------------------------------- 5. Userid/Mailbox Name _______________________________________________________________________________ PASSWORD PROTECTION AR 380-19 prohibits users from revealing passwords to anyone, even though they may be employed on the same project and hold identical clearances. _______________________________________________________________________________ 6. Signature of User |7. Date | | ------------------------------------------------------------------------------- 8. I verify that this user is authorized to (check one or more) __ |__| Use a DDN mailbox on the WSMR DECSYSTEM-20. __ |__| Charge computer runs against a valid WSMR DECSYSTEM-20 project. __ |__| Perform the duties of TASO IAW AR 380-19. ------------------------------------------------------------------------------- 8a. Printed Name of Supervisor|8b. Signature of Supervisor |8c. Date | | | | ------------------------------------------------------------------------------- 8c. Supervisor's Office Symbol|8d. Supervisor's Phone Number | ------------------------------------------------------------------------------- 9. TASO: I verify that (check one): __ |__| This terminal user is authorized to use terminal equipment under my jurisdiction. __ |__| I am acting as own TASO and agree to perform the duties of TASO IAW AR 380-19. ------------------------------------------------------------------------------- 9a. Printed Name of TASO |9b. Signature of TASO |9c. Date | | | | ------------------------------------------------------------------------------- 9d. TASO's Office Symbol |9e. TASO's Phone Number | =============================================================================== PLEASE DO NO WRITE BELOW THIS LINE ------------------------------------------------------------------------------- 10. Request Number | 11. __ | |__| Approved as Requested __ | __ |__| Rejected | |__| Changed ------------------------------------------------------------------------------- 12. Signature of ISSO _______________________________________________________________________________ 13. Comments _______________________________________________________________________________ ASQNC-TWS FORM 91 1 Feb 91 Replaces STEWS-IM Form 11, 1 Apr 87, which is obsolete. .