+---------------+-----------------+-----------------+----------------+
| **ENTERPRISE  |                 |                 |                |
| CONTENT       |                 |                 |                |
| MANAGEMENT    |                 |                 |                |
| (ECM)         |                 |                 |                |
| SECURITY      |                 |                 |                |
| REQUEST**     |                 |                 |                |
+---------------+-----------------+-----------------+----------------+
| > 1\. DATE    | > 2\. NAME      |                 | > 3\. AGLEARN  |
|               |                 |                 | > ID           |
+---------------+-----------------+-----------------+----------------+
|               |                 |                 |                |
+---------------+-----------------+-----------------+----------------+
| > 4\.         |                 |                 |                |
| > AGENCY/DIV  |                 |                 |                |
| ISION/BRANCH/ |                 |                 |                |
| SECTION/GROUP |                 |                 |                |
+---------------+-----------------+-----------------+----------------+
| > 5\. E-MAIL  |                 | > 6\. PHONE     | > 7\. FEDERAL  |
| > ADDRESS     |                 | > NUMBER        | > EMPLOYEE     |
+---------------+-----------------+-----------------+----------------+
|               |                 |                 |                |
+---------------+-----------------+-----------------+----------------+
| > 8\. USER    |                 |                 |                |
| > MAILING     |                 |                 |                |
| > ADDRESS     |                 |                 |                |
+---------------+-----------------+-----------------+----------------+
| > 9\.         |                 | 10\. SUPERVISOR |                |
| > SUPERVISOR  |                 | E-MAIL ADDRESS  |                |
| > NAME        |                 |                 |                |
+---------------+-----------------+-----------------+----------------+
|               |                 |                 |                |
+---------------+-----------------+-----------------+----------------+
| > 11\.        |                 |                 |                |
| > SUPERVISOR  |                 |                 |                |
| > COMMENTS    |                 |                 |                |
+---------------+-----------------+-----------------+----------------+
|               |                 |                 |                |
+---------------+-----------------+-----------------+----------------+
| > 12\. NOTES  |                 |                 |                |
+---------------+-----------------+-----------------+----------------+

### TELEPHONE AND UTILITY SYSTEMS FORM AD-1209 (11/08)

**Instructions for Completing ECM Security Request Form**

Complete the fields as indicated. E-mail this completed form to
<nfc.misc@usda.gov>\
or print and fax to 888-652-6948.

  ------ ------------------------------------------------------------------
  1\.    Date. Enter the current date.

  2\.    Name. Enter the name of the user.

  3\.    AgLearn ID. Enter the user's AgLearn ID.

  4\.    Agency/Division/Branch/Section/Group. Enter the user's agency name
         down to the lowest organizational level (ex. OCFO/Controller
         Operations Division/\
         Administrative Payments Branch/Miscellaneous Payments Section)

  5\.    E-mail Address. Enter the user's e-mail address.

  6\.    Phone Number. Enter the user's 10-digit phone number.

  7\.    Federal Employee. Check appropriate block to indicate whether or
         not user is a Federal employee.

  8\.    User Mailing Address. Enter the user's business mailing address.

  9\.    Supervisor Name. Enter the name of the user's immediate
         supervisor.

  10\.   Supervisor E-mail Address. Enter the supervisor's e-mail address.

  11\.   Supervisor Comments. Supervisor's comments can be made in this
         field.

  12\.   Notes. Any additional notes can be made in this field.
  ------ ------------------------------------------------------------------