Scribd Logo
Upload

Welcome to Scribd!

  • 57 views

    Request For Establishment of A Publications Account: (Include Nine-Digit ZIP Code) (Include Nine-Digit ZIP Code)

    Uploaded by

    Douglas
    This document is a request form to establish a publications account for ordering publications, blank forms, or test materials. It requires information about the requesting organization such as unit identification codes, addresses, and contact information for publications and security officers. The form also allows the requesting organization to specify the desired classification level of the account and documents to be received.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Request For Establishment of A Publications Account: (Include Nine-Digit ZIP Code) (Include Nine-Digit ZIP Code)

    Uploaded by

    Douglas
    57 views1 page
    This document is a request form to establish a publications account for ordering publications, blank forms, or test materials. It requires information about the requesting organization such as unit identification codes, addresses, and contact information for publications and security officers. The form also allows the requesting organization to specify the desired classification level of the account and documents to be received.

    Original Title

    A12.pdf

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document is a request form to establish a publications account for ordering publications, blank forms, or test materials. It requires information about the requesting organization such as unit identification codes, addresses, and contact information for publications and security officers. The form also allows the requesting organization to specify the desired classification level of the account and documents to be received.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    57 views1 page

    Request For Establishment of A Publications Account: (Include Nine-Digit ZIP Code) (Include Nine-Digit ZIP Code)

    Uploaded by

    Douglas
    This document is a request form to establish a publications account for ordering publications, blank forms, or test materials. It requires information about the requesting organization such as unit identification codes, addresses, and contact information for publications and security officers. The form also allows the requesting organization to specify the desired classification level of the account and documents to be received.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 1

    REQUEST FOR ESTABLISHMENT OF A PUBLICATIONS ACCOUNT

    For use of this form, see DA PAM 25-40, the proponent agency is OAASA.
    1. ACCOUNT NUMBER

    2. DATE

    4. FROM (Include nine-digit ZIP Code)

    3. TYPE OF SUBMISSION
    a.
    INITIAL b.
    CHANGE c.

    5. THRU (Include nine-digit ZIP Code)

    CLOSE

    6. TO

    SECTION I - GENERAL
    7a. REQUEST AN ACCOUNT BE ESTABLISHED FOR THE FOLLOWING SERVICE:
    PUBLICATIONS

    BLANK FORMS

    TEST MATERIAL

    7b. JUSTIFICATION FOR BLANK FORMS (Use a separate sheet of paper if more space is needed.)

    8. UNIT DESCRIPTION DATA (FAILURE TO COMPLETE THIS BLOCK WILL RESULT IN YOUR REQUEST BEING RETURNED.)
    a. Component (Contractors must complete Block 8e and/or 8f.)
    Active Army

    Army Reserve

    National Guard

    Marine Corps

    Navy

    DOD Activity

    b. TOE Number or TDA Number(Army Only)

    Air Force
    Contractor

    Other

    c. Unit Identification Code (UIC) (Army Users)

    e. Commercial and Government Entity (CAGE) Code


    (Contractors)
    f. Contract Number (if applicable)

    d. Military Assistance Program Address Code (FMS Users)

    g. DOD Activity Address Code (Non-Army Users) or Navy UIC

    9. PUBLICATIONS OFFICER FOR THIS ORGANIZATION WILL BE:


    a. Typed Name, Grade and Title
    b. Signature

    c. Telephone Number
    (DSN and Commercial)

    SECTION II - ACCOUNT CLASSIFICATION LEVEL


    10. REQUEST THE FOLLOWING CLASSIFICATION LEVEL FOR THIS
    ACCOUNT:
    UNCLASSIFIED
    CONFIDENTIAL
    SECRET
    11. THIS ORGANIZATION HAS ADEQUATE EQUIPMENT AND PROPERLY CLEARED PERSONNEL TO RECEIVE AND SAFEGUARD
    MATERIAL ACCORDING TO THE CLASSIFICATION REQUESTED FOR THIS ACCOUNT. IF CLASSIFIED SERVICE IS APPROVED,
    THE SECURITY OFFICER WILL BE:
    a. Typed Name, Grade and Title

    b. Signature

    c. Telephone Number
    (DSN and Commercial)

    12a. OLD ADDRESS (Include 9-digit Zip Code)

    SECTION III - CHANGE OF ADDRESS


    b. NEW ADDRESS (Include 9-digit Zip Code)

    Effective Date:

    SECTION IV - AUTHENTICATING OFFICIALS


    13a. Typed Name, Grade and Title of Commander

    b. Signature

    c. Telephone Number
    (DSN and Commercial)

    14a. Typed Name, Grade and Title of PCO/PSM

    b. Signature

    c. Telephone Number
    (DSN and Commercial)

    DA FORM 12, MAR 2015

    PREVIOUS EDITIONS ARE OBSOLETE.

    APD LC v1.00ES

    You might also like