PS Form 1357-S Request for Computer Access

PS form EIB-SBA1357-S is a U.S. Postal Service (USPS) form also known as the "Request For Computer Access". The latest edition of the form was released in September 1, 2003 and is available for digital filing.

Download an up-to-date PS Form EIB-SBA1357-S in PDF-format down below or look it up on the U.S. Postal Service (USPS) Forms website.

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Shaded Boxes for US Postal Service use Only
U.S. Postal Service
Original PS 1357-S Located at:
Logon ID Assigned
Request for Computer Access
(Instructions for completing form on reverse side.)
Section A: User Identification
3. Area 4. Finance No.
1. Requestor's Name
2.eAccess Unique ID or Last 4 Digits of SSN
N/A N/A
Contractor
Temporary
5. Requestor's Job Title
6. Employment Status (Check one)
X
Career
Casual
Foreign
Nonpostal
7. USPS Organization/Department
8. USPS or Company Mailing Address (Include ZIP+4)
N/A
9. Telephone No.
10. District Code and Name
N/A
11. User Responsibility Agreement Statement
I am responsible for Logon/Logoff, all actions pertaining to the use of my assigned logon ID, and will not provide my logon ID to another person. I agree that access to computer data or files not
authorized to me is prohibited. I understand my logon ID may be suspended indefinitely if I violate security procedures or fail to provide update information for Section A whenever I change job positions.
I agree that misuse of a USPS computer system may result in disciplinary action and/or criminal prosecution. I understand that any detected misuse of a computer system will be reported to the
Inspection Service.
(Read Privacy Act Statement on reverse side before signing. Note: Privacy Act Statement MUST be on reverse side of this form.)
Signature
Date
12. Manager Responsibility Agreement Statement
I agree that modifications to existing service agreements will require additional PS Form 1357 requests. I agree that this logon ID will be used for authorized USPS work within the scope of my
organization. I also agree that upon termination or transfer of the user, I will advise the Computer Systems Security Officer in writing as to the disposition of the computer files and/or data and logon ID. I
will periodically review the use of the assigned logon ID and computer files and/or data.
USPS Manager's Name (Please print)
Logon ID
Signature
Date
Telephone No.
Section B: Computer Access Requested
13a. Describe Support Required
Eagan Data Center
San Mateo Data Center
X
X
Logon ID (Circle one):
New
Change
Delete
Facility Where Access Is Required: ___________________________
DDE/DR: Access Code: ___________ User Type: __________
List Existing Logon IDs & Facilities: ___________________________
Access for Delivery Confirmation System
Access for Confirm System
PPP Dial-up Account Access to:
Web Site Access
PTSMFTP.USPS.GOV
File Transmission Account
Internet Access
Access for Entry Information System
Access for Performance Reporting System
Web Site Access
Web Site Access
File Transmission Account
13b. Resource Name
13c. Sensitive or
13d. Access Level Required
Proprietary
(Additional room is available on the reverse side)
(See instructions)
Section C: Computer Access Approvals
14. Contractor Information (Must be completed by the Contracting Officer's Representative (COR))
a. Does the Contract Contain Provisions for (Circle Yes or No):
b. Contract Number: _________________________________________
1. Screening?
Yes
No
2. Security of Information?
Yes
No
c. Contract Expiration Date: ___________________________________
3. Privacy of Information?
Yes
No
4. Contractor Screening by the Inspection Service?
Yes
No
d. USPS Organization/Department: _____________________________
15. USPS COR's Name (Please Print)
Signature
Date
Telephone No.
16. Functional System Coordinator's Name (Please Print)
Signature
Date
Telephone No.
17. Logon ID Administrator's Name (Please Print)
Signature
Date
Telephone No.
1357-S,
PS Form
September 2003 (Page 1 of 2)
Shaded Boxes for US Postal Service use Only
U.S. Postal Service
Original PS 1357-S Located at:
Logon ID Assigned
Request for Computer Access
(Instructions for completing form on reverse side.)
Section A: User Identification
3. Area 4. Finance No.
1. Requestor's Name
2.eAccess Unique ID or Last 4 Digits of SSN
N/A N/A
Contractor
Temporary
5. Requestor's Job Title
6. Employment Status (Check one)
X
Career
Casual
Foreign
Nonpostal
7. USPS Organization/Department
8. USPS or Company Mailing Address (Include ZIP+4)
N/A
9. Telephone No.
10. District Code and Name
N/A
11. User Responsibility Agreement Statement
I am responsible for Logon/Logoff, all actions pertaining to the use of my assigned logon ID, and will not provide my logon ID to another person. I agree that access to computer data or files not
authorized to me is prohibited. I understand my logon ID may be suspended indefinitely if I violate security procedures or fail to provide update information for Section A whenever I change job positions.
I agree that misuse of a USPS computer system may result in disciplinary action and/or criminal prosecution. I understand that any detected misuse of a computer system will be reported to the
Inspection Service.
(Read Privacy Act Statement on reverse side before signing. Note: Privacy Act Statement MUST be on reverse side of this form.)
Signature
Date
12. Manager Responsibility Agreement Statement
I agree that modifications to existing service agreements will require additional PS Form 1357 requests. I agree that this logon ID will be used for authorized USPS work within the scope of my
organization. I also agree that upon termination or transfer of the user, I will advise the Computer Systems Security Officer in writing as to the disposition of the computer files and/or data and logon ID. I
will periodically review the use of the assigned logon ID and computer files and/or data.
USPS Manager's Name (Please print)
Logon ID
Signature
Date
Telephone No.
Section B: Computer Access Requested
13a. Describe Support Required
Eagan Data Center
San Mateo Data Center
X
X
Logon ID (Circle one):
New
Change
Delete
Facility Where Access Is Required: ___________________________
DDE/DR: Access Code: ___________ User Type: __________
List Existing Logon IDs & Facilities: ___________________________
Access for Delivery Confirmation System
Access for Confirm System
PPP Dial-up Account Access to:
Web Site Access
PTSMFTP.USPS.GOV
File Transmission Account
Internet Access
Access for Entry Information System
Access for Performance Reporting System
Web Site Access
Web Site Access
File Transmission Account
13b. Resource Name
13c. Sensitive or
13d. Access Level Required
Proprietary
(Additional room is available on the reverse side)
(See instructions)
Section C: Computer Access Approvals
14. Contractor Information (Must be completed by the Contracting Officer's Representative (COR))
a. Does the Contract Contain Provisions for (Circle Yes or No):
b. Contract Number: _________________________________________
1. Screening?
Yes
No
2. Security of Information?
Yes
No
c. Contract Expiration Date: ___________________________________
3. Privacy of Information?
Yes
No
4. Contractor Screening by the Inspection Service?
Yes
No
d. USPS Organization/Department: _____________________________
15. USPS COR's Name (Please Print)
Signature
Date
Telephone No.
16. Functional System Coordinator's Name (Please Print)
Signature
Date
Telephone No.
17. Logon ID Administrator's Name (Please Print)
Signature
Date
Telephone No.
1357-S,
PS Form
September 2003 (Page 1 of 2)
Instructions for Completing PS Form 1357-S
Note: Please print all entries except for signatures. Incomplete infor-
13b. Enter the name of the application(s) or resources to which access
mation may cause delays in implementation or return of this form.
is sought.
13c. Specify if applications or files within applications are sensitive or
Section A: User Identification
proprietary.
1. Print your full name.
13d. Specify the appropriate access level to applications and files.
2. Enter your eAccess Unique Identifier or last 4 digits of Social
READ access allows a user to read and copy, but not to changea
Security Number.
filename or it's contents.
3. Enter your Area.
WRITE access allows a user to change the contents of or delete a
4. Enter your Finance Number.
file, to create files within a catalog or directory, and may permit
5. Enter your official job title.
renaming and relocating files.
6. Enter your employment status.
EXECUTE access allows a user to execute or use a program file,
7. Specify your work organization.
but generally not to see or change it.
8. Enter your USPS or company mailing address (include ZIP+4).
ALLOCATE access allows a user to delete, rename, catalog,
9. Enter your telephone number.
uncatalog, or archive a file.
10.Enter your District Code and District Name, if applicable.
Section C: Computer Access Approvals
11.Read and understand the User Responsibility Agreement Statement
* and Privacy Act Statement (printed below) before signing and dating
14a-d. The Contracting Officer's Representative (COR) will complete
this document.
this block -- reference the Administrative Support Manual (ASM);
12. Your USPS manager must read and understand the Manager
Procurement Manual (PM); and Handbook AS-805. If the contractor
Responsibility Agreement Statement * prior to affixing his/her name,
has not been screened, the contractor must complete and attach PS
Logon ID (Unique Identifier), signature, date, and phone number.
Forms 2025 and 2181 with this request.
15. The COR will complete Block 14 before entering his/her name,
Section B: Computer Access Requested
signature, date, and phone number.
13a. Please check, circle, and describe the support that you will
16. To approve grants of access, the Functional System Coordinator
require. Specify any system compilers or other special software
enters his/her name, signature, date, and phone number.
required in support of your request. Include all data access (CICS
17. The person (Logon ID Administrator) responsible for creating a
transaction IDs, IDMS codes, etc.) requirements or any special security
logon ID for a user enters his/her name, signature, phone number, and
required of the system or data. Include any support services (data
date. The Logon ID Administrator must also indicate in the upper left
entry, etc.) needed. Estimate the number of service hours required per
hand corner of PS Form 1357-S where the original of this PS Form
week in support of your request. Special access request to the
1357-S will be kept and in the upper right hand corner the Logon ID
DDE/DR system will require DDE/DR Functional System Coordinator
assigned.
to supply the access code and user type.
* Additional responsibilities can be found in Handbook AS-805 and Administrative Support Manual (ASM).
Privacy Act Statement
The collection of this information is authorized by 39 U.S.C. 401 and Public Law 100-235, Computer Security Act of 1987. This information will be
used to assign computer logon IDs by which access to data and/or files on computer systems is limited to authorized persons through the use of
computer security access control products. As a routine use, this information may be disclosed to a congressional office at your request; to OMB for
review of private relief legislation; to a labor organization as required by the NLRA; where pertinent, in a legal proceeding to which the USPS is a
party; to an appropriate law enforcement agency for investigative or prosecutorial purposes; to a government agency where relevant to a hiring,
contracting, or licensing decision by the requesting agency; to a government agency in order to elicit information relevant to a hiring, contracting, or
licensing decision by the USPS; to an expert or consultant under contract with the USPS to fulfill an agency function; to the Federal Records Center
for storage; to the Equal Employment Opportunity Commission for investigating a formal EEO complaint filed against the USPS under 29 CFR 1613;
and to the Merit Systems Protection Board or Offices of Special Counsel for proceedings involving possible prohibited personnel practices.
Completion of this form is voluntary; however, if this information is not provided, you may not be granted a computer logon ID.
13b. Resource Name
13c. Sensitive or
13d. Access Level Required
Proprietary
(Continued from front)
(See instructions)
1357-S,
PS Form
September 2003 (Page 2 of 2)

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