JGA Global Support Center
User Access Request Form
Complete the form below to request access to the JGA Global Support Center. Note: All required fields must be filled in or your request will not be processed! Upon verification and approval of your request, you will be issued a unique User ID and Password. You will be prompted for this information each time you attempt to access this system. Warning: Request for a JGA Global Support Center User ID and Password implies consent to protect this password as Classified information.
Name: (REQUIRED)
First and Last Name
First Name:
Last Name:
Company Name: (Contractors Only)
Gov't Organization / Unit: (REQUIRED)
TODO Code:
Address Line 1: (REQUIRED)
Address Line 2:
City: (REQUIRED)
State: (REQUIRED)
Postal Code: (REQUIRED)
Country: (REQUIRED)
E-Mail: (REQUIRED)
Commercial Telephone:
DSN Telephone:
(At least one phone, COMM or DSN, is REQUIRED)
FAX Number:
Systems: (REQUIRED)
Check off any system(s) that you require access to.

Check here to Select All Systems
B-1B KC-135R Navy
F-16 B-2 F4
A-10 F117 F-15
C-17 F-22
Enter your Rank, MOS:
(If civilian, please enter grade & office symb.)
Select your Classification/Affiliation:  (REQUIRED)
Select branch of the armed services you are affiliated with?  (REQUIRED)
Government POC: (Contractors Only)
POC Telephone: (Contractors Only)
Receive Email Notifications of new PRR submittals?: Yes   
Additional comments:
 

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