ESS Account Request or Change Request - Navy ROTC

ESS Account Request or Change Request
This ESS Account Request form is required to establish a Citrix login account for all users of NETFOCUS.
For NROTC Units:
1. Complete SAAR-N Form and ESS Account Request Form
2. Forward completed forms and IAA Certificate to unit Security Manager.
3. Unit Security Manager completes appropriate section of SAAR-N and forwards all documents to Unit CO/XO.
4. Unit CO/XO signs off on SAAR-N and ESS Forms as "Supervisor" then forwards all documents to NSTC N61 (nstc_n61@navy.mil)
5. NSTC N61 signs SAAR-N as Information Owner and forwards documents to NSTC N63 IAM.
6. NSTC N63 IAM gives final approval to SAAR-N and sends ESS Account Request Form to NETPDTC IAM (NETPDTC_IA@navy.mil)
For NJROTC Unit Instructors:
1. Complete SAAR-N Form and ESS Account Request Form
2. Forward completed forms and IAA Certificate to Area Manager.
3. Area Manager completes Supervisor section of SAAR-N and forwards all documents to N STC Security Manager.
4. NSTC Security Manager contacts requester for SSN and completes Security section of SAAR-N.
4. NSCT Security Manager forwards all documents to NSTC N61 (nstc_n61@navy.mil)
5. NSTC N61 signs SAAR-N as Information owner and forwards documents to NSTC N63 IAM.
6. NSTC N63 IAM gives final approval to SAAR-N and sends ESS Account Request Form to NETPDTC IAM (NETPDTC_IA@navy.mil)
For Other Units:
1. Complete ESS User Account Request or Change Request Form.
2. Forward to your command IAM (Information Assurance Manager) via digitally signed and encrypted e-mail. Your command IAM will
then review and forward to the NETPDTC_IA@navy.mil address.
Points of Contact
NSTC N61 - (847) 688-5895 x352
NSTC IN63 IAM - (847) 688-3456 x306
NROTC - OD5 (850) 452-3084
NJROTC - CD5 (850) 452-9507
Fast Site - (850) 452-4045
AIM 1 and 2- (407) 380-4685
Other- contact program manager
First Name MI Last Name
Phone Number
E-mail Address
Company/Command/School Name and Code Name
Office Address
Bldg. and Rm.
Supervisors Name (required for non-NROTC)
Unit CO or XO name (Required for NROTC )
Phone Number
Do you have a CAC card reader? YES NO
CAC Card/EDI number (NOT your SSN)
For ActivClient Users
1. Click on Start->Programs->ActivCard->ActiveClient-
>User Console->My Personal Information
2. Scroll down to "DoD EDI Personal Identifier" for EDI
number
CAC Expiration Date)
For ActiveCard Gold Useres
1. Click on Start->All Programs->ActiveCard->ActivCard
Gold->ActivCard Gold Utilities->"Demographic Data"
tab
2. EDI number is on line "DoD EDI Person Identifier"
NMCI User Name (if non-NMCI user leave blank

Command IAM (if applicable)
SAAR-N filed at unit:
DOD IAA Training Completed
YES
YES
NO
NO
Most Recent IA Awareness Training Completion Date
Application Access Request or Change Information
ALL of the below fields are REQUIRED!
Current CITRIX User?
YES NO
Log-On Name
What application are you seeking access to? (check all the apply)
NROTC
NJROTC
Student Cruise JUMS
NJMIS JUMS
Fast Site AIM 1 AIM 2
Other Please list other:
Please briefly state reason for requesting access:
I certify that the above request is valid and that all information contained within this document is correct and verified.
Requestor Signature
Click to the right to use a
scanned image signature
Sponsor Signature
A sponsor is the person who is authorizing you to request an account.
Completed by NETC-ITSS Service Desk:
ESS Domain User Name:
Notes:
1. NETC-ITSS Service Desk will create account only if a digitally signed e-mail is received from
NETPDTC INFORMATION ASSURANCE TEAM.
2. NETC-ITSS Service Desk Analyst will retain original e-mail and will place it in the retention folder of
the NETC Helpdesk mailbox.