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  • Dos Ds-4141 2019

Get Dos Ds-4141 2019-2026

U.S. Department of StateApplication for TOMBS Account OF Information Systems Deliver to SA33, Room 226 or submit an OF TOMBS Request service ticket with this form attached, at the IT Services Online.

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How to fill out the DoS DS-4141 online

Filling out the DoS DS-4141 form is an essential step for individuals seeking access to specific resources within the Department of State. This guide will provide you with detailed instructions to ensure a smooth and efficient completion of the form online.

Follow the steps to successfully fill out the DoS DS-4141 online.

  1. Click the ‘Get Form’ button to begin the process of obtaining the form and open it in your designated editor.
  2. In Section A, provide your user identification details, including your last name, first name, middle initial, agency or office, email address, job function, and telephone number. Be sure to indicate the type of clearance required - either Top Secret or Secret.
  3. Proceed to Section B, which is to be completed by the Program or Office Director. Here, check all applicable OFM access types and include the region. Also, denote the appropriate TOMIS access as indicated.
  4. In Section C, both the applicant and the authorizing official must acknowledge their understanding of the access responsibilities and sign where indicated. Ensure that phone numbers and office symbols are also included.
  5. In Section D, for system usage only, details regarding access type and logon IDs will be completed by the systems team.
  6. Finally, make sure to save your changes, and choose to download, print, or share the completed form as needed.

Complete your DoS DS-4141 form online today for a streamlined access request process.

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