+-------------------+-----------------------------+-------------------+
| SA 2712-CVC \#    | #### CON                    | ![                |
| (10-2002)         | TRACTOR/VISITOR - COMPUTERS | ](media/image1.pn |
|                   |                             | g){width="1.95in" |
| Supersedes        |                             | he                |
| (3-2002) issue    |                             | ight="0.30625in"} |
+-------------------+-----------------------------+-------------------+

# TEMPORARY, ONE-TIME EXCEPTION TO SNL POLICY

**Complete this form to take Computers into Sandia premises (both
Limited Areas and Property Protection Areas (PPAs)).**

This form may also be used to obtain authorization for potential TSE
(technical surveillance equipment).

**FAX the completed form (or send a copy) to the host's Center Computer
Security Representative (CSR) BEFORE going on-site.**

Register in NWIS for any one of these conditions: network connections;
or multiple visits; or for stays exceeding one month.

  ------------- ----------- ----------- ----------- ----------- ------------ ----------- -- ------- ----------- ----------- -------------- --
  Visitor Name  **     **                                                                   Start               **     **                  
                                                                                            Date                                           

  Visitor                                                       **     **                   End                 **     **                  
  Business                                                                                  Date                                           
  Affiliation                                                                                                                              

  SNL Host Name             **     **                                                       Phone   **     **                              

  Center's                              **     **                                           CSR FAX                         **     **      
  CSR's Name                                                                                (or                                            
                                                                                            mail                                           
                                                                                            stop)                                          

  Equipment                                         **     **                                                                              
  Description                                                                                                                              

  Business                                                                   **     **                                                     
  Reason for                                                                                                                               
  bringing                                                                                                                                 
  equipment                                                                                                                                
  on-site                                                                                                                                  

  Location(s)                                                                **     **                                                     
  where                                                                                                                                    
  equipment                                                                                                                                
  will be                                                                                                                                  
  taken/used                                                                                                                               
  ------------- ----------- ----------- ----------- ----------- ------------ ----------- -- ------- ----------- ----------- -------------- --

  ---------------- ----------- ---------------------- -- ------------- ----------- -------------------- --
  Equipment                                              Peripheral                                     
  Identification                                         Equipment (if                                  
                                                         any)                                           

  Model            **     **                             Model         **     **                        

  Make             **     **                             Make          **     **                        

  Identifying                  **     **                 Identifying               **     **            
  Number                                                 Number                                         

                                                                                                        
  ---------------- ----------- ---------------------- -- ------------- ----------- -------------------- --

  ----------------- ------ ----------- ---------- ------ ------------- -------------- ----------- ------- --
  Are you a Foreign YES NO                        If                   Approved FNR   **     **           
  National?                                       YES,                 number is                          
                                                  the                                                     

  This equipment is                                                                                       
  owned by *(Check                                                                                        
  **only one**)*                                                                                          

  US Government            Business                      Personally                                       
  Owned                    Owned                         Owned                                            

  If any questions                                                                                        
  below are                                                                                               
  answered "YES",                                                                                         
  Technical                                                                                               
  Surveillance                                                                                            
  Countermeasures                                                                                         
  (TSCM) review may                                                                                       
  by required.                                                                                            
  *(See reverse                                                                                           
  side)*                                                                                                  

  Activated Audio                                        YES NO                                           
  Recording                                                                                               
  Capability? (e.g.                                                                                       
  microphone)                                                                                             

  Activated Video                                        YES NO                                           
  Recording                                                                                               
  Capability? (e.g.                                                                                       
  camera)                                                                                                 

  If any questions                                                                                        
  below are                                                                                               
  answered "YES",                                                                                         
  then additional                                                                                         
  actions apply.                                                                                          

  Will you connect                     YES NO If                                                          
  to the                               "YES",                                                             
  unclassified                         perform a                                                          
  network?                             virus                                                              
                                       scan,                                                              
                                       register                                                           
                                       in NWIS                                                            
                                       and *(See                                                          
                                       reverse                                                            
                                       side).*                                                            

  Is there any                         YES NO If                                                          
  classified                           "YES",                                                             
  equipment                            contact                                                            
  involved?                            your                                                               
                                       CSR/NSO.                                                           
  ----------------- ------ ----------- ---------- ------ ------------- -------------- ----------- ------- --

  ---------------------- -------------------------------------------------------- ----------------------------------------------
                                                                                  

  Activated RF wireless  NNSA(DOE)/AL approval required. Begin approval process   
  networking? **NO**     by completing                                            
                         [RF-Proposal](http://computersecurity/RF-Proposal.doc)   
                         form.                                                    

                                                                                  
  ---------------------- -------------------------------------------------------- ----------------------------------------------

+---+--------------------------------------------------------------------+
| # |                                                                    |
| # |                                                                    |
|   |                                                                    |
| R |                                                                    |
| u |                                                                    |
| l |                                                                    |
| e |                                                                    |
| s |                                                                    |
| - |                                                                    |
| o |                                                                    |
| f |                                                                    |
| - |                                                                    |
| U |                                                                    |
| s |                                                                    |
| e |                                                                    |
|   |                                                                    |
| * |                                                                    |
| * |                                                                    |
| M |                                                                    |
| i |                                                                    |
| n |                                                                    |
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| n |                                                                    |
| t |                                                                    |
| s |                                                                    |
| * |                                                                    |
| * |                                                                    |
+---+--------------------------------------------------------------------+
| ● | **Don't connect this equipment to a network without first          |
|   | obtaining approval.**                                              |
|   |                                                                    |
|   | Computers requiring connection to a Sandia National Laboratories   |
|   | network(s) must perform a virus scan with current signatures,      |
|   | register in NWIS, obtain a WebCARs authorization, complete a       |
|   | network action request and obtain approvals prior to connection.   |
+---+--------------------------------------------------------------------+
| ● | **Any equipment brought onto Sandia National Laboratories Sites is |
|   | subject to monitoring and or inspection.**                         |
+---+--------------------------------------------------------------------+
| ● | **No other equipment may be substituted under this                 |
|   | authorization.**                                                   |
+---+--------------------------------------------------------------------+
| ● | **This completed form must remain with the equipment at all times  |
|   | while on a Sandia National Laboratories site.**                    |
+---+--------------------------------------------------------------------+
| ● | **FAX the completed form (or send a copy) to the host's Center     |
|   | Computer Security Representative (CSR) BEFORE going on-site.**     |
+---+--------------------------------------------------------------------+
| ● | **A copy of the completed form must be retained in the host        |
|   | Center/Department for 3 months following the visit.**              |
+---+--------------------------------------------------------------------+
| # |                                                                    |
| # |                                                                    |
| # |                                                                    |
|   |                                                                    |
| A |                                                                    |
| d |                                                                    |
| d |                                                                    |
| i |                                                                    |
| t |                                                                    |
| i |                                                                    |
| o |                                                                    |
| n |                                                                    |
| a |                                                                    |
| l |                                                                    |
|   |                                                                    |
| R |                                                                    |
| e |                                                                    |
| q |                                                                    |
| u |                                                                    |
| i |                                                                    |
| r |                                                                    |
| e |                                                                    |
| m |                                                                    |
| e |                                                                    |
| n |                                                                    |
| t |                                                                    |
| s |                                                                    |
|   |                                                                    |
| f |                                                                    |
| o |                                                                    |
| r |                                                                    |
|   |                                                                    |
| L |                                                                    |
| i |                                                                    |
| m |                                                                    |
| i |                                                                    |
| t |                                                                    |
| e |                                                                    |
| d |                                                                    |
|   |                                                                    |
| A |                                                                    |
| r |                                                                    |
| e |                                                                    |
| a |                                                                    |
| s |                                                                    |
+---+--------------------------------------------------------------------+
| ● | Portable electronic devices must be in possession of the visitor   |
|   | at all times when in a limited area.                               |
+---+--------------------------------------------------------------------+
| ● | No activated RF wireless networking capability is allowed. DOE     |
|   | would have to approve an exception.                                |
+---+--------------------------------------------------------------------+
| ● | TSCM must review, prior to use, audio recording or video recording |
|   | devices.                                                           |
+---+--------------------------------------------------------------------+
| ● | The equipment will not be taken into any classified facility that  |
|   | contains SCI, SAPs, or TS without the approval of the facility     |
|   | security officer.                                                  |
+---+--------------------------------------------------------------------+
| # |                                                                    |
| # |                                                                    |
| # |                                                                    |
|   |                                                                    |
| A |                                                                    |
| d |                                                                    |
| d |                                                                    |
| i |                                                                    |
| t |                                                                    |
| i |                                                                    |
| o |                                                                    |
| n |                                                                    |
| a |                                                                    |
| l |                                                                    |
|   |                                                                    |
| R |                                                                    |
| e |                                                                    |
| q |                                                                    |
| u |                                                                    |
| i |                                                                    |
| r |                                                                    |
| e |                                                                    |
| m |                                                                    |
| e |                                                                    |
| n |                                                                    |
| t |                                                                    |
| s |                                                                    |
|   |                                                                    |
| f |                                                                    |
| o |                                                                    |
| r |                                                                    |
|   |                                                                    |
| C |                                                                    |
| l |                                                                    |
| a |                                                                    |
| s |                                                                    |
| s |                                                                    |
| i |                                                                    |
| f |                                                                    |
| i |                                                                    |
| e |                                                                    |
| d |                                                                    |
|   |                                                                    |
| D |                                                                    |
| e |                                                                    |
| v |                                                                    |
| i |                                                                    |
| c |                                                                    |
| e |                                                                    |
| s |                                                                    |
+---+--------------------------------------------------------------------+
| ● | A copy of the 'home site' accredited Computer Security Plan for    |
|   | the device must remain with the device.                            |
+---+--------------------------------------------------------------------+
| ● | This device will be only operated as a standalone and will NOT be  |
|   | connected to a Sandia resource.                                    |
+---+--------------------------------------------------------------------+
| ● | Any unclassified media inserted into a Sandia classified device    |
|   | that has the capability of writing to the media must be            |
|   | appropriately marked, stored and transported. The media can only   |
|   | be transported as classified media. (This is true whether the      |
|   | media is written to or not.)                                       |
+---+--------------------------------------------------------------------+
|   |                                                                    |
+---+--------------------------------------------------------------------+

+----------------------+-----------+---------------------------------+---+
| ### *I have reviewe  |           | ### SNL Host Signature          |   |
| d the form for compl |           |                                 |   |
| eteness and accuracy |           | *(required)*                    |   |
|  and accept responsi |           |                                 |   |
| bility for authorizi |           |                                 |   |
| ng this equipment on |           |                                 |   |
| to a Sandia National |           |                                 |   |
|  Laboratories site.* |           |                                 |   |
+----------------------+-----------+---------------------------------+---+
| ##                   |           | ### Visitor Signature           |   |
| # *The information o |           |                                 |   |
| n this form is accur |           | *(required)*                    |   |
| ate and I accept the |           |                                 |   |
|  above Rules-Of-Use* |           |                                 |   |
+----------------------+-----------+---------------------------------+---+
| ###                  |           |                                 |   |
|                      |           |                                 |   |
| Security review(s)   |           |                                 |   |
| signatures *(if      |           |                                 |   |
| required)*           |           |                                 |   |
+----------------------+-----------+---------------------------------+---+
|                      | (please   |                                 |   |
|                      | identify  |                                 |   |
|                      | type of   |                                 |   |
|                      | review -- |                                 |   |
|                      | computer  |                                 |   |
|                      | security  |                                 |   |
|                      | / TSCM /  |                                 |   |
|                      | facility  |                                 |   |
|                      | security  |                                 |   |
|                      | officer)  |                                 |   |
|                      |           |                                 |   |
|                      | **C       |                                 |   |
|                      | ompletion |                                 |   |
|                      | of this   |                                 |   |
|                      | form      |                                 |   |
|                      | permits   |                                 |   |
|                      | an        |                                 |   |
|                      | exception |                                 |   |
|                      | to CPR    |                                 |   |
|                      | 400.2     |                                 |   |
|                      | .13.10.** |                                 |   |
|                      |           |                                 |   |
|                      | *         |                                 |   |
|                      | *Security |                                 |   |
|                      | Of        |                                 |   |
|                      | ficers:** |                                 |   |
|                      | Please    |                                 |   |
|                      | ensure    |                                 |   |
|                      | that all  |                                 |   |
|                      | in        |                                 |   |
|                      | formation |                                 |   |
|                      | is        |                                 |   |
|                      | c         |                                 |   |
|                      | ompleted. |                                 |   |
+----------------------+-----------+---------------------------------+---+

  -----------------------------------------------------------------------
  **Instructions for completing the form.**

  -----------------------------------------------------------------------

  ----- ------------------------- --------- --------------------------------
  1\.   Complete the front side   Sign it.  Obtain SNL Host signature.
        of this form.                       

  ----- ------------------------- --------- --------------------------------

  ----- -------------------------------------------------------------------
  2\.   Determine basic approval requirements and obtain necessary
        signatures.

  ----- -------------------------------------------------------------------

+----------------+---------+------+--------------+---------+-----------+
| **Basic        |         |      |              |         |           |
| required       |         |      |              |         |           |
| approvals**    |         |      |              |         |           |
+----------------+---------+------+--------------+---------+-----------+
| #######        |         |      |              |         |           |
| Contractor/Vis |         |      |              |         |           |
| itor Companies |         |      |              |         |           |
+----------------+---------+------+--------------+---------+-----------+
| #######        |         |      | #            |         |           |
|                |         |      | # US Citizen |         |           |
+----------------+---------+------+--------------+---------+-----------+
| #######        | #       |      | **US         | **Bus   | #         |
|                | ######  |      | Government** | iness** | # Persona |
|                | **Forei |      |              |         | lly Owned |
|                | gn Nati |      | ## Owned     | #       |           |
|                | onal ** |      |              | # Owned |           |
|                | Approve |      |              |         |           |
|                | d FNR r |      |              |         |           |
|                | equired |      |              |         |           |
+----------------+---------+------+--------------+---------+-----------+
| #######        | A       |      | ## No appro  | ##      | Host      |
|  **Property Pr | pproved |      | val required |  Host a | approval  |
| otected Area** | FNR     |      |              | pproval |           |
|                |         |      | unless       |         |           |
|                | ####### |      | networked    |         |           |
|                |  Host a |      |              |         |           |
|                | pproval |      |              |         |           |
+----------------+---------+------+--------------+---------+-----------+
| ####### **     | A       |      | ##           | ##      | ##        |
| Limited Area** | pproved |      |              |         |           |
|                | FNR     |      | ## No appro  | ##      | ## Host   |
| Notify         |         |      | val required |  Host a |  approval |
| Computer       | ####### |      |              | pproval |           |
| Security       |  Host a |      | unless       |         | Computer  |
|                | pproval |      | networked or |         | Security  |
| if classified  |         |      | if           |         |           |
| is involved    | C       |      | classified   |         | co        |
|                | omputer |      | is involved  |         | ncurrence |
|                | S       |      |              |         |           |
|                | ecurity |      |              |         |           |
|                | review  |      |              |         |           |
|                |         |      |              |         |           |
|                | in CA   |      |              |         |           |
+----------------+---------+------+--------------+---------+-----------+

**Hosts must be Sandia National Lab employees.**

**[Duration of visit]{.underline}**

> No additional authorization is required for on-site access up to:

● 1 week for personally-owned equipment

● 1 month for company-owned equipment

For visits of less than 1 month involving US government owned equipment
this form is not required.

***Access exceeding the above timeframes must follow the standard
procedures including NWIS registration.***

###### [Foreign Nationals]{.underline}

Approved FNR

######### [Network Connections]{.underline}

> Virus scan with current virus/Trojan signatures, Approved WebCARs
> application, NWIS registration network action request.

  ----- -------------------------------------------------------------------
  3\.   Determine **if the following additional reviews/approvals are
        required**

  ----- -------------------------------------------------------------------

+---+-------------------------------------------------------------------+
|   | ######## [Person                                                  |
|   | ally-owned equipment to be taken into a Limited Area]{.underline} |
|   |                                                                   |
|   | > Computer Security Review - [REQUIRED]{.mark}                    |
+---+-------------------------------------------------------------------+

+---+-------------------------------------------------------------------+
|   | ########                                                          |
|   | [Activated Audio Recording or Video Recording Device]{.underline} |
|   |                                                                   |
|   | > TSCM Review - [REQUIRED]{.mark}                                 |
+---+-------------------------------------------------------------------+

+---+-------------------------------------------------------------------+
|   | ######## [Accessing SCI, SAPs, or TS Facility]{.underline}        |
|   |                                                                   |
|   | > Approval of Responsible Facility Security Officer               |
|   | > -[REQUIRED]{.mark}                                              |
+---+-------------------------------------------------------------------+

  ----- -------------------------------------------------------------------
  4\.   **Once the form is completed and the required approvals are
        obtained, FAX/send the front of this form to the host's Center
        Computer Security Representative before going on-site.**

  ----- -------------------------------------------------------------------