REQUEST FOR GSAXcess® USER ID
(www.GSAXcess.gov)
PE
RMISSION LEVELS: (check all that apply)
S
EARCH ONLY PERMISSION: (self register at www.gsaxcess.gov
with a .gov or .mil address)
GSAXCESS® REPORT _____ INTERNAL SEARCH _____
SEARCH & SELECT _____ INTERNAL SELECT _____
COMPUTERS FOR LEARNING _____ INTERNAL REQUSITION (transfer) _____
NATIONAL UTILIZATION OFFICER _____ PUBLIC AIRPORT _____
STATE AGENCY FOR SURPLUS PROPERTY _____ FEPMIS _____
APPROVING OFFICIAL _____ GSA Area Property Officer (APO) _____
NASA* FEDERAL AGENCY CUSTOMER _____ -- APO Requisition ______ Allocation ______
GSA Sales Contracting Officer _____
Name: ____________________________ ______ ___________________________________
(first) (mi) (last)
ACT
IVITY ADDRESS CODE: ___________ (6 char) AGENCY/BUREAU CODE: ___________ (4 digits)
(begins with the Agency code unless a DODAAC)
Physical Office Address: ______________________________________________________
______________________________________________________
Ci
ty: __________________________________ State: _________ Zip: ___________ Phone: ___________________________
Ex
t: __________ Fax: _________________________ Email Address: ____________________________________________
APPROVING OFFICIAL: (Agency Approving Authority or Property Officer authorized to sign SF122/123)
Na
me (Print): __________________________ ______ ________________________________
(first) (mi) (last)
(
Signature): ___________________________________________________
Ti
tle: ________________________________________________________
Phone: ____________________________ Ext: __________ Fax: ________________________
E
mail Address: _________________________________________________
CC E
mail Address: _____________________________________________ (alternate approving official)
NOTE: GSAXcess® will generate an Email notification to the applicable agency NUO (National Utilization
Officer), stating that GSA has granted a User ID to this individual. If the NUO does not want this individual to have
a User ID in GSAXcess®, the NUO may delete the User ID at their discretion. If the user listed above will also be
their own approving official and has requested search and select permission, then Central Office requires a letter on
official letterhead stating that the user has the Agency’s permission to select property and be their own approving
official. The letter should be signed or by a Manager, NUO, Director or someone that is the person’s supervisor.
Completed forms should be emailed to nancy.moses@gsa.gov.
NASA Donee customers are created through the State Agency for Surplus Property [SASP]
(http://www.gsa.gov/portal/content/100851). NASA Educational customers are created through
http://gsaxcess.gov/NASAWel.htm. Foreign Gift permission requests should be sent to the Foreign Gift Program
Manager, paula.hardiman@gsa.gov.
click to sign
signature
click to edit
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