Introduction

Requests for test services at ATEC test ranges should be submitted as early as possible to allow ATEC to plan, coordinate, and schedule resources, and ensure that required safety, security, and environmental concerns have been properly addressed prior to the test. At a minimum, the following information will be required for each request:

Requester Points of Contact
Type of Customer/Project
Description of Services
Testing Location
Projected Schedule
Report Requirements
Safety Considerations
Environmental Considerations
Security Considerations
Funding Source - Program Element and Project Number are required for submission

The current system does not allow for saving and resuming a partially completed request, so entry must be completed in one session. Once submitted, a project tracking ID will be provided for future correspondence.

NOTE: All items shown with a (*) are REQUIRED items and MUST be completed before your request will be accepted for consideration.

Requester Point of Contact
Name*	Title First MI Last
Phone*	Commercial 555-555-5555 x1234   DSN 555-5555
E-Mail Address*
Service/Organization/Company*
Office Symbol	government office symbol or private industry department
Address - Line 1*
Address - Line 2
City*	AE AK AL AP AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NA NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY   City State ZIP

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Customer Point of Contact (Same as Requester )
Name*	Title First MI Last
Phone*	Commercial 555-555-5555 x1234   DSN 555-5555
E-Mail Address*
Service/Organization/Company*
Office Symbol	government office symbol or private industry department
Address - Line 1*
Address - Line 2
City*	AE AK AL AP AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NA NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY   City State ZIP

Is there an alternate Customer Point of Contact?  ( Yes /  No )