FOR OFFICIAL USE ONLY (FOUO) - United States …



REQUEST FOR CSSO APPOINTMENT ORDERS

(COMPANY LETTER - Keep information unclassified)

FROM: Company Include (Cage Code) DATE

Name of FSO or CSSO

Mailing address

THRU: User Agency Name

Name of Contract Monitor (CM)

Mailing Address

TO: Contractor Support Element (CSE)

SUBJECT: Request for Appointment of Contractor Special Security Officer (CSSO) and Alternate CSSO

The following employees of this company are nominated to be appointed as CSSO/ACSSO, respectively (include all current primary and alternate appointed CSSO’s):

Newly Appointed

CSSO: (List name and last four of SSN)

ACSSO: (List name and last four of SSN)

Currently Appointed

CSSO/ACSSO: (List name and last four of SSN)

CSSO/ACSSO: (List name and last four of SSN)

Above individuals will be responsible for the security management of cage code(s) _______. The appointed User Agency Contract Monitor is Name, phone number and e-mail address. This letter supersedes all previous letters/memoranda relating to U. S. Army appointments.

Point of contact for this letter is (name/phone).

Signature

JOHN K. DOE

VP, or FSO Identified in ISFD

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