User Information Form Group Administrators Shippers Carriers Group Administrators, Shippers and Carriers require role privileges in TRANSCOM above 'read-only’. These users are considered 'trusted users'. To comply with DOE direction, 'trusted users' will require background verification if they do NOT possess either a security clearance (L, Q, secret or top secret) or federally issued HSPD12 badge. If applicable; TRANSCOM personnel will send background verification forms to the User for completion and submittal. The background verification will be performed by TRANSCOM security sub-contractor (NetGain Corp). Please provide security clearance or HSPD12 information below if applicable. Organization Name User Role Group Admin (manage read only users within organization) Shipper (schedule shipments in TRANSCOM) Carrier (manage vehicles, transponders, driver information) – Upon completion of training and background verification (if applicable), TCC staff will create 'trusted user' accounts (Group Admin, Shippers and Carriers) and provide login information to the User. Group Administrators will be responsible for creating and managing read only users within their organization. If your organization has more than 10 TRANSCOM Users, you may request an additional Group Administrator by having them complete and submit this form. First Name Last Name Title Physical Address (Address Line 1) (Address Line 2) (City)(State) (Zip Code) Phone Numbers(s) (Office) (Mobile) (Fax) Email Address US Citizen Yes No (DOE/CBFO Approval Required) Clearance Type Clearance Issue Date HSPD12 badge expiration TRANSCOM Communications Center Completion – DOE/CBFO Approval Date: (only if not US Citizen)
User Information Form Group Administrators Shippers Carriers Group Administrators, Shippers and Carriers require role privileges in TRANSCOM above 'read-only’. These users are considered 'trusted users'. To comply with DOE direction, 'trusted users' will require background verification if they do NOT possess either a security clearance (L, Q, secret or top secret) or federally issued HSPD12 badge. If applicable; TRANSCOM personnel will send background verification forms to the User for completion and submittal. The background verification will be performed by TRANSCOM security sub-contractor (NetGain Corp). Please provide security clearance or HSPD12 information below if applicable. Organization Name User Role Group Admin (manage read only users within organization) Shipper (schedule shipments in TRANSCOM) Carrier (manage – vehicles, transponders, driver information) Upon completion of training and background verification (if applicable), TCC staff will create 'trusted user' accounts (Group Admin, Shippers and Carriers) and provide login information to the User. Group Administrators will be responsible for creating and managing read only users within their organization. If your organization has more than 10 TRANSCOM Users, you may request an additional Group Administrator by having them complete and submit this form. First Name Last Name Title Physical Address (Address Line 1) (Address Line 2) (City)(State) (Zip Code) Phone Numbers(s) (Office) (Mobile) (Fax) Email Address US Citizen Yes No (DOE/CBFO Approval Required) Clearance Type Clearance Issue Date HSPD12 badge expiration TRANSCOM Communications Center – Completion DOE/CBFO Approval (only if not US Citizen) Date:
TRANSCOM_User_Information_Form.docx