| SECTION | TITLE | INSTRUCTIONS |   | 
|   |   |   | 
| 1 | TYPE OF USER | Check the appropriate box for DoD (e.g., Military Branches, DoD Agencies), DoD | 
|   |   | Contractor Companies, Non-DoD NISP Partners and Non-DoD affiliated. |   | 
|   |   |   |   | 
| 2 | TYPE OF REQUEST | Check the appropriate box indicating purpose for the SAR. |   | 
|   |   |   | 
| 3 | USER INFORMATION | Must completely fill in. If no middle name, enter NMN. Ensure e-mail address is accurate; | 
|   |   | account access credentials are transmitted via e-mail. |   | 
|   |   |   |   | 
| 4 | APPLICATIONS | Check the application(s) and function(s) the user requires. |   | 
|   |   |   |   | 
| 5 | JCAVS | Check appropriate boxes. See definitions below. |   | 
|   |   | NOTE: The appointment letter must be drafted on company letterhead, must name the | 
|   |   | Primary Account Manager and must be signed by a corporate officer (KMP). The same | 
|   |   | KMP must sign both the SAR (nominating official) and the letter. |   | 
|   |   |   | 
| 5 | ACCOUNT MANAGER | Account Managers will provide account maintenance on all user accounts created within | 
|   |   | their company. Responsibilities include, but are not limited to, locking/unlocking accounts, | 
|   |   | resetting passwords, logging off users, deleting accounts when no longer needed and | 
|   |   | maintaining their Security Management Offices (SMO). Account managers will create any | 
|   |   | additional accounts that are required. |   | 
|   |   |   | 
| 5 | USER | Depending on the level of access, users may verify clearances, update accesses, process | 
|   |   | visit notifications, and handle all other functions within JCAVS. |   | 
|   |   |   |   | 
| 5 | ACCESS REQUESTED – | Check appropriate block, using the following guidance: |   | 
|   | INDUSTRY | Level 2: SCI security personnel at Corporate level, with read and write access. | 
|   |   | Level 3: SCI security personnel at echelons subordinate to Level 2 at a particular | 
|   |   | geographic location, with read and write access. |   | 
|   |   | Level 4: Non-SCI security personnel at Corporate level, with read and write access. | 
|   |   | Level 5: Non-SCI security personnel immediately subordinate to Level 4, with read and | 
|   |   | write access. |   | 
|   |   | Level 6: Non-SCI security personnel immediately subordinate to Level 5, with read and | 
|   |   | write access. |   | 
|   |   | Level 7: Non-SCI security personnel who accomplish entry control (i.e., access to | 
|   |   | installations, buildings, etc.), with read-only access. |   | 
|   |   | Level 8: SCI security personnel who accomplish entry control, with read-only access. | 
|   |   | Level 10: Non-SCI security personnel who accomplish visitor management, with read-only | 
|   |   | access. |   | 
|   |   |   |   | 
| 5 | ACCESS REQUESTED – | Self-explanatory; check appropriate block. |   | 
|   | DoD (NON-INDUSTRY) |   |   | 
|   |   |   | 
| N/A | TOP OF PAGE 2 | Ensure User’s last name and first initial are entered at the top of the page in the space | 
|   |   | provided. |   | 
|   |   |   | 
| 6 | JAMS USER ROLES | Provide information and check appropriate boxes for user functions, access, and | 
|   |   | permissions. JAMS is only authorized for DoD CAFs. |   | 
|   |   |   | 
| 7 | NOMINATING OFFICIAL’S | The Nominating Official is the individual who is authorizing that the User should have the | 
|   | CERTIFICATION | requested accesses. The Nominating Official may be a Corporate Officer (KMP), Facility | 
|   |   | Security Officer, Security Manager, Information Systems Security Officer, Agency | 
|   |   | Administrator, etc. For JCAVS Industry Primary Account Managers, the SAR must be | 
|   |   | signed by the same KMP that signed the Appointment Letter. The Nominating | 
|   |   | Official CANNOT be the same as the User. Exceptions include the company President, | 
|   |   | for JCAVS, and the FSO, for ISFD. NOTE: SARs submitted without the Nominating | 
|   |   | Official’s signature included will not be processed. |   | 
|   |   |   |   | 
| 8 | USER’S CERTIFICATION | User must sign, acknowledging DoD/system policy. |   | 
|   |   |   | 
| 9 | VALIDATING OFFICIAL’S | The DoD Security Services Center (for industry only) or the Security Manager must verify | 
|   | VERIFICATION | and indicate the following information on the following lines prior to signing: Clearance | 
|   |   | Level; Clearance Granted Date; Clearance Issued By; Type of Investigation; Date | 
|   |   | Investigation Completed; and Investigation Conducted By. For non-DoD government | 
|   |   | agency requests, the Chief of Security or designee must complete this section. | 
|   |   |   |   | 
| 10 | ADDITIONAL SAR | Provided to facilitate successful processing of the SAR. |   | 
|   | DIRECTIVES |   |   | 
|   |   |   |   | 
| DSS FORM 273 (INSTRUCTIONS), JUNE 2011 | Page 3 of 3 |