NIST logo
*

Attachment to

NIST Policy on Information Technology Resources Access and Use

Organization Unit: _____________________________________
Division Name and Number: _____________________________

Name (first name / last name) ____________________________

 

I have read, and understand the document titled, "NIST Policy on Information Technology Resources Access and Use,"
dated October 2003, and agree to abide by this and all NIST IT security-related policies.

 

Signature: _________________________ Date: _____________

Please sign, date, and return this page to NIST iTAC, Mail Code 1820.

 

FOR OFFICIAL USE ONLY

NIST UID:
Provided orientation (initial/date):             
Entered into certification dataabase: