DD Form 2928

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Get your DD Form 2928 in 3 easy steps

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Understanding DD Form 2928

Let's begin by understanding what a DD form 2928 is. This form, produced and regulated by the U.S Department of Defense, is titled "Contractor's Safety and Occupational Health Program." Its primary function is to provide a unified system for managing safety and health requirements for military contractors. The successful completion of this document is instrumental in ensuring occupational safety for military contractor personnel.

Importance of the DD Form 2928

Visibly, the DD Form 2928 is integral to ensuring contractor safety. The United States Department of Defense typically uses this form. These Defense Department forms are used for various purposes in daily military operations and communication process. Among these numerous forms, DD Form 2928 stands out due to its specific purpose which is integral to the effective conduct of military operations in the US.

How to Fill Out DD Form 2928

To fill out the DD Form 2928 on PDFliner, please follow these steps:

  1. Enter your full name (last, first, middle initial, and any suffixes if applicable) in the designated name field.
  2. Input your Employee Identification Number, which may be your Social Security Number, Local National number, or Status of Forces Agreement number.
  3. Provide the agency code and major claimant code relevant to your position. These codes can be found in Section H1 of the DCPS User Manual.
  4. Identify your affiliation by marking an 'X' in the appropriate box. If you are a Foreign National, additionally enter the two-character country code as listed in Section G of the DCPS User Manual.
  5. Certify the completion of the DCPS Security Awareness Online Course by marking an 'X' in the appropriate box and entering the completion date.
  6. Select the database designator(s) for the payroll office you need access to by marking 'X' in the corresponding boxes. If accessing multiple payroll offices, note that a separate form is required for each.
  7. Input the printer ID where reports will be automatically generated.
  8. Select the action code corresponding to your request type (Add, Change, Delete) and enter it in the appropriate column.
  9. Specify the database(s) you are requesting access to by entering the appropriate database designator(s).
  10. Choose the authorization type(s) that apply to your duties and enter them into the form. Repeat for each database and authorization type as necessary.
  11. If applicable, enter your three-digit pay block assignment for the authorization types that require it. Leave blank for other authorization types.
  12. Sign the form electronically to certify your agreement and acceptance of responsibilities as stated in the user agreement section of the form.
  13. Enter the date of signing the form in the format YYYY-MM-DD.
  14. Ensure that your supervisor or government sponsor completes their portion of the form, certifying your need-to-know, signing, and dating the form.

Once all sections are accurately completed, proceed with any additional required steps as instructed by your department or the DCPS User Manual. Remember, accurate and thorough completion of this form is crucial for processing your access request efficiently.

Fillable online DD Form 2928
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(4.5 / 5) 91 votes
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