UNCLASSIFIED CORe-DOC-3780-35
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CBRN CORe

SYSTEM AUTHORIZATION ACCESS REQUEST (SAAR)

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Do not enter information about classified systems onto this form.
For assistance, please contact the Service Desk
Privacy Act Statement

AUTHORITY: Executive Order 10450; and Public Law 99-474, the Computer Fraud and Abuse Act

PRINCIPAL PURPOSE(S): To record names, signatures, and other identifiers for the purpose of validating the trustworthiness of individuals requesting access to Department of Defense (DoD) systems and information. NOTE: Records may be maintained in both electronic and/or paper form

ROUTINE USE(S): None.

DISCLOSURE: Disclosure of this information is voluntary; however, failure to provide the requested information may impede, delay or prevent further processing of this request.

PART I - TO BE COMPLETED BY REQUESTER

Submitter Information

Demographic Information












Required Security Training and Attestations

Please go to CDSE eLearning to complete the following required security training courses and enter your completion dates. If already completed, simply enter the dates below.

Annual Cyber Awareness Challenge
  • Launch the course: Cybersecurity > Cybersecurity Awareness CS130.16
  • Choose between regular access or log in to CDSE STEPP.
Identifying and Safeguarding Personally Identifiable Information
  • Launch the course: Information Security > Identifying and Safeguarding Personally Identifiable Information (PII) DS-IF101.06
  • Choose between regular access or log in to CDSE STEPP.
Attestations:

I completed the Annual Cyber Awareness Challenge on this date and can provide proof upon request.
Date:
I completed the Annual "Identifying and Safeguarding Personally Identifiable Information (PII)" Training on this date and can provide proof upon request.
Date:
I have read, understand, and will comply with the Acceptable Use Policy.
Date:

CAC/PIV





CBRN CORe Access Request Tables

The information below must be provided to assist your Supervisor and the DTRA Account Approval Authority (AAA) in determining and granting the appropriate Inventory Item(s) and Roles. This serves as a preliminary request for access. Your Supervisor and the DTRA AAA will review (and, if necessary, modify) the request before determining access approval.

*Note: Final determination of access to Inventory Items and other CORe Resources is at the discretion of the Supervisor and DTRA AAA.


Inventory Item Access

Brief description of Roles and Privileges:

For each item to which you are requesting access, list the DTRA ID and Inventory Item Name as well as the Role you are requesting.

DTRA ID and Inventory Item Name
(i.e. CB1234 and Inventory Item Name)		 Role(s)
(i.e. Reporter)




Supervisor Information



Submitter Signature

By affixing my signature below, I hereby affirm that all information contained within this Security Access and Authorization Request (SAAR) is true and accurate to the best of my knowledge. Furthermore, I acknowledge that I have completed all required training and have read, understood, and agree to adhere to the terms and conditions of the Acceptable Use Policy.

Please click the button below to download the SAAR form with your information, digitally sign Part 1 "Requester Signature", then upload the signed PDF.





September 2026 UNCLASSIFIED
PREVIOUS EDITION IS OBSOLETE.