Important Note: Due to the latest DD2875 form being a dynamic .pdf, users will need to save a local copy of
the document to their PC before opening. This should be the standard practice whether the file
is being opened from an email attachment or downloaded from the wam.niar.wichita.edu
website. Otherwise, the “Please wait..” error will be present.
DD2875 Required Information
- Type of Request
- Date
- System Name
- Location
- Block1. Name
- Block2. Organization
- Block3. Office Symbol
- Block4. Phone
- Block5. Official E-mail Address
- Block6. JobTitle/Rank
- Block7. Official Mailing Address
- Block8. Citizenship
- Block9. Designation of Person
- Block10. IA Training and Awareness Certification Requirements
- Block11. User Signature
- Block12. Date
- Block13. Justification for Access
- Block14. Type of Access Requested: Will be Authorized
- Block15. User Requires Access To: Will be Unclassified
- Block16a. IF USER IS A CONTRACTOR
- Block17. All Supervisor information 17-17e
- Block21. You must X which data sets you are requesting
- Block22-26. Should be filled out by your Security Manager
Submission Instructions
