Registration Form for Federal Logistics Information System (WebFLIS) for U.S. Government Employees
Please TYPE or PRINT CLEARLY then mail or fax this form to:
Mail: FAX:
DLIS-VSM (WebFLIS Access) DSN: 661-5925
Defense Logistics Information Service Commercial: 269-961-5925
74 Washington Ave N, Ste 7
Battle Creek MI 49017-3084
Instructions for completing this form
This is a Department of Defense (DoD) computer system. DoD computer systems are provided for the processing of official U.S. Government information only. All data contained on DoD computer systems is owned by the Department of Defense, may be monitored, intercepted, recorded, read, copied, or captured in any manner and disclosed in any manner, by authorized personnel. There is no right to privacy in this system. System personnel may give to law enforcement officials any potential evidence of crime found on DoD computer systems. Use of this system by any user, authorized or unauthorized, constitutes consent to this monitoring, interception, recording, reading, copying, or capturing and disclosure.
Block 1. Agency Information
U.S.
Government Branch of Service or Agency:_____________________
(Such as Army, Navy, Air Force, Marine Corps, DLA, GSA, NASA, etc.)
Major
Command:_____________________________________________
(Such as Army Materiel Command, Air Force Materiel Command, Naval Supply
Command, etc.)
POC Name:_________________________________________________
Office Symbol, Code, Mail Stop:_________________________________
Organization:________________________________________________
Street/PO Box:_______________________________________________
City/State/Zip Code:___________________________________________
City/Country (if APO or FPO address):____________________________
Commercial Phone:_________________ DSN:_____________________
E-Mail Address:___________________________________
FAX:____________________________________________
Block 2. WebFLIS User Information
This form requests that you provide your social security number. The U.S. Government is authorized to ask for this information under Executive Orders 9397, 10450 and 10577 sections 3301 and 3302 of title 5, U.S. Code and parts 4, 731 and 736 of Title 5, Code of Federal Regulations. Your social security number is needed to keep records accurate, because other people may have the same name. The primary use of the information on this form is for review by Government Officials to determine and verify that you have the appropriate security clearance to obtain access to the requested data. Disclosure is voluntary. However, failure to provide the requested information will result in denial of access. The last six digits of your Social Security Number, is a required field in our Access Control Tool. This field allows us to verify your identity if a reset is required or a problem occurs with your account.
As a user of WebFLIS, I acknowledge my responsibility to conform to the following requirements and conditions as established by DLA:
I understand the need to protect my password. I will NOT share my password and/or account.
I understand that I am responsible for all actions taken under my account. I will NOT attempt to ‘hack" the network or any connected information system or network, or attempt to gain access to data for which I am not specifically authorized.
I acknowledge my responsibility to comply with all copyright laws both federal and state (where applicable).
I understand my use of DLA information systems is subject to monitoring to ensure proper functioning, to protect against improper or unauthorized use or access, and to verify the presence or performance of applicable security features or procedures. By using the information system I consent to such monitoring.
I acknowledge my responsibility to conform to the requirements stated above when using DLA information systems or networks. I also acknowledge that failure to comply with these requirements and conditions may constitute a security violation resulting in denial of access to DLA information systems, networks or facilities and that such violations will be reported to appropriate authorities for further action as deemed appropriate.
I understand the need to protect my password. I will NOT share my password and/or user ID. If I no longer need access to WebFLIS, it is my responsibility to notify DLIS.
USER SIGNATURE: ____________________________DATE:____________
Printed Name:___________________________________________________
Social Security Number:___________________________________________
DLA Standard LOGON:_________________Email:_____________________
Commercial Phone:_________________________DSN:_________________
Personal Identification Information. (This may be your favorite color, sports team, hobby or phrase.) _________________________________________________________
Block 3. Security Verification
This block must be completed by the Command Security Office. Requests received without annotation and signature will be returned without further action.
Security Officer. Access to this system requires the user to have a National Agency Check with Inquiries (NACI) or equivalent type of Investigation. If this level of investigation has not been completed for this person, contact the Defense Security Service at http://www.dss.mil for assistance.
Verification of Security for requester named in Block 2:
Employee Name:_____________________________________________
Type of Investigation: _________________ Completed on:____________
By (Agency):________________________________________________
Signature of Security Representative: :____________________________
Printed Name of Security Representative:___________________________
Title:______________________ Date:___________________________
Commercial Phone:___________________ DSN:__________________
Block 4.
AIR FORCE PERSONNEL ONLY
If you need access to the Weapons Systems Database (WSDB), please indicate below and then sign your full name.
______ Weapons Access Required
Block 5. Point of Contact Approval. TO BE COMPLETED BY OUR OFFICE (DLIS). THIS IS FOR YOUR INFORMATION ONLY.
Air Force employees requesting access to the Weapons Systems database must be approved by the POC at Headquarters AFMC/LGIA:
Signature of Approving Official: ____________________________________
Printed Name:__________________________________________________
Title:_________________________________________________________
Commercial Phone:____________________ DSN:____________________