Request For Access

TO:
Guard Materiel Management Center
MIS Security GMMC Building 6
5751 Briar Hill Road     COM 859-293-3471
Lexington, KY 40516-9721          DSN 745-3471

Date of Request:

From: (Organization)

OFFICE SYM:

1.
Request that the following individual be granted access to and be authorized to submit requistions to the Guard Materiel Management Center on behalf of the organizations identified in paragraph 3.

2.
Name:
Organization Acronym:
Position/Rank/Grade:

E-Mail Address:

SSN:

Offical Symbol:
Phone (com) (    )     -         DSN:    -
FAX (com) (    )     -         DSN:    -

3.
The individual identified in paragraph 2. is authorized to submit requistions on behalf of the following organizations: (attach additional pages if the individual requires authorization to requistion for more than one DODAAC. Supervisor MUST sign authorization for each DODAAC)

DODAAC                     Type Unit Code                     UIC                     FAD

Standard Point Location Code(SPLC)           Bulk Break Point(BBP)

Line 1 Mailing Address
Line 2 Mailing Address
Line 3 Mailing Address

Individual's Signature:
AUTHORIZATION:

(Signature of Supervisor)             (Title)                       (Phone)

Call the GMMC at COM (606) 293-3471 or DSN 745-3471 if you need assistance with this password application. Mail or FAX to The GMMC at the address above. You will be given a user ID and temporary password by phone when your application is received by the GMMC.

TO: Guard Materiel Management Center MIS Security GMMC Building 6 5751 Briar Hill Road COM 859-293-3471 Lexington, KY 40516-9721 DSN 745-3471	Date of Request:
From: (Organization)	OFFICE SYM:
1. Request that the following individual be granted access to and be authorized to submit requistions to the Guard Materiel Management Center on behalf of the organizations identified in paragraph 3.
2. Name: Organization Acronym: Position/Rank/Grade: E-Mail Address:	SSN: Offical Symbol: Phone (com) ( ) - DSN: - FAX (com) ( ) - DSN: -
3. The individual identified in paragraph 2. is authorized to submit requistions on behalf of the following organizations: (attach additional pages if the individual requires authorization to requistion for more than one DODAAC. Supervisor MUST sign authorization for each DODAAC)
DODAAC Type Unit Code UIC FAD
Standard Point Location Code(SPLC) Bulk Break Point(BBP)
Line 1 Mailing Address Line 2 Mailing Address Line 3 Mailing Address Individual's Signature: AUTHORIZATION: (Signature of Supervisor) (Title) (Phone)