How to complete a DD Form 2875 (Step by Step)

To complete a DD Form 2875, you need to provide the following information:

• Type of request: initial, modification, deactivate, user ID
• Date
• System name
• Location
• Part I - To be completed by Requestor
  • Name
  • Organization
  • Office symbol/department
  • Phone
  • Official email address
  • Job title and grade/rank
  • Official mailing address
  • Citizenship: US, FN, other
  • Designation of person: military, civilian, contractor
  • IA training and awareness certification requirements
  • User signature
  • Date
•  Part II - Endorsement of access by information owner, user supervisor, or government sponsor
  • Justification for access
  • Type of access required
  • Access to classified or unclassified required
  • Verification of need to know
  • Access expiration date
  • Supervisor’s name
  • Supervisor’s signature
  • Supervisor’s organization/department
  • Supervisor’s email address
  • Phone number
  • Signature of information owner/OPR
  • Phone number
  • Date
  • Signature of IAO or appointee
  • Organization/department
  • Phone number
  • Date
  • Optional information
• Part III - Security Manager Validates the Background Investigation or Clearance Information
  • Type of investigation
  • Date of investigation
  • Clearance level
  • IT level designation
  • Verified by
  • Security manager telephone number
  • Security manager signature
  • Date
• Part IV - Completion by Authorized Staff Preparing Account Information
  • Title
  • System
  • Account Code
  • Domain
  • Server
  • Application
  • Directories
  • Files
  • Datasets
  • Date processed 
  • Processed by
  • Date
  • Date revalidated
  • Revalidated by
  • Date

Form may be electronically transmitted, faxed, or mailed.