HOSC ACCOUNT REQUEST FORM

HCR No. (for internal use only):

/

Date:

Section I: General Information

Check one:

/

X

/

New account

/

Modifications to existing account

/

Change in account owner

Account Owner Name: / Phone Number:
(first name) (MI) (last name)
Organization & Operating Location: / AMS POCC@ JSC, CERN, Taiwan / Email:
SectionII: Account Types / Expiration Date: / (if applicable)
Account Access: / X / Single User / Multi-User (complete Multi-User section on back of form)
Project Name: / AMS-02 / Purpose of Account: / Monitor Payload Operations
Desired System(s):
EHS: / (Att. 1) / IVoDS: / X
PPS: / (Att. 2) / PDSS:
MPS/EPC: / X - HOPS / (Att. 4) / DR/Droid:
MPV/OSTPV/iPV: / DR/WinPlot/Samba:
Firewall/VPN: / HOSC Institutional: / (Att. 4,5)
Admin Portal: / X / Other: / (specify)
ACCOUNT OWNER RESPONSIBILITY ACKNOWLEDGMENT
Account Owners are responsible for the actual use and protection of their computer account(s) and shall not compromise the security of the systems by doing any of the following: Using passwords that are part of a pattern (i.e. April, May, etc.), “trivial” passwords (i.e. MSFC, NASA, etc.) either wholly or partially composed of any common words, names, numbers, abbreviations, or acronyms associated with the user or the user's occupation;contain the name of any automated product or application; a dictionary word; a simple keyboard pattern (i.e. QWERTY); or prefixed by a single digit whereas the removal of that digit would result in an invalid password; recording password in such a manner or location in which it can be compromised by another person; entering any software that is not certified free of viruses or any contaminates into the system; or leaving unsecured terminals unsupervised or with a non-authorized user.
Unauthorized use of the computer accounts and computer resources to which I am granted access is a violation of Section 799, Title 18, U.S. Code; constitutes theft; and is punishable by law. I understand that I am the only individual to access these accounts and will not knowingly permit access by others without written approval. I understand that my misuse of assigned accounts, and my accessing others’ accounts without authorization is not allowed. I understand that these systems and resources are subject to monitoring and recording. I further understand that failure to abide by these provisions may constitute grounds for termination of access privileges, administrative action, and/or civil or criminal prosecution.
Account Owners are responsible for reporting any changes which affect their access request forms (including the addition or deletion of users on multi-user accounts), and are responsible for reporting any suspected or observed access control violations and complying with security regulations. Upon deletion of any users on multi-user accounts, the account password must be changed. Any users who are not U.S. citizens must fill out the Non U.S. Citizen Information section on the back of this page. International Partners are subject to provisions specified in applicable Intergovernmental Agreements.
I / hereby certify that I shall comply with the above statements.
(Account Owner Name - please print) / U.S. Citizen? / Yes / No(complete Non U.S. Citizen Info on back)
Account Owner Signature / Date
Supervisor / NASA Sponsor Signature / Date
For Internal Use Only:
USERID/Account Name(s):
For NASA Approval Only:
NASA System Management / Date
For Implementer Use Only:
Senior SYSCON; System Manager; DBA; HACM / Date

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