Joint Interoperability Test Waiver Request Form Note: Send the completed form and required attachments to the appropriate COCOM/S/A ISG REP (see URL: ). The COCOM/S/A REP will validate the request and forward it to DoD CIO and JITC Waiver Recommendation mailbox () for consideration. All fields must be completed. If a field does not apply, enter Applicable” or “Not “N/A”. Date of Request: Section I. System Name Full Name: Acronym: Nomenclature: Model #: Version #: STP # (if assigned): DoD DITPR ID #: Section II. Contact Information: 1) ISG Representative: 2) Requesting Agent/ Technical POC: a) Title or Rank/Name: b) Requesting Organization Name: Organization Acronym: c) Phone Numbers Commercial: ( ) – DSN: ( ) d) Email Address:
Joint Interoperability Test Waiver Request Form Note: Send the completed form and required attachments to the appropriate COCOM/S/A ISG REP (see URL: ). The COCOM/S/A REP will validate the request and forward it to DoD CIO and JITC Waiver Recommendation mailbox () for consideration. All fields must be completed. If a field does not apply, enter “Not Applicable” or “N/A”. Date of Request: Section I. System Name Full Name: Acronym: Nomenclature: Model #: Version #: STP # (if assigned): DoD DITPR ID #: Section II. Contact Information: 1) ISG Representative: 2) Requesting Agent/ Technical POC: a) Title or Rank/Name: b) Requesting Organization Name: Organization Acronym: c) Phone Numbers – Commercial: ( ) DSN: ( ) d) Email Address:
jitc_jointinteroptestwaiverreqform_16apr12.docx