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PS 1357-C
(Customer) Request for Web Access (10/2000)
Download and Print
the PS 1357-C
Request may not be processed if the form is incomplete or illegible.
A. Customer Identification
1. Name
2. Last 4-Digits of SSN
3. Job Title
4. Telephone Number (Include area code)
5. Company Name
6. Email Address
7. Business Address
8. Corporate HQ Location (If different from your Business Address)
B. Customer Computer Access Authorization
1.USER RESPONSIBILITY AGREEMENT STATEMENT:
I am responsible for the Logon/Logoff, all actions pertaining to the use of my assigned logon ID, and
will not provide my logon ID to another person.
Access to computer data or files not authorized to me is prohibited. My logon ID may be suspended indefinitely
if I violate security procedures.
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 US Postal Inspection Service.
The Postal Service reserves the right to monitor the network to
identify unauthorized attempts to upload or change information, or otherwise cause damage. Read the Privacy Act statement before signing.
Note: The Privacy
Act statement MUST be on this form.
I certify that I have read and understand the foregoing and the Privacy Act statement below. Additional responsibilities can be found in Handbook AS 805,
ADP Security, and in the Administrative Support Manual.
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