Scribd
Upload
10 views3 pages

Software Release Request Form STAT

The document is a Software Release Request Form for the Marshall Space Flight Center, detailing information required for requesting software titled 'STAT'. It includes sections for the requestor's personal information, usage details, and information about any associated contracts or agreements. The form must be submitted to a designated point of contact via email.

Uploaded by

olcaolgun
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
10 views3 pages

Software Release Request Form STAT

The document is a Software Release Request Form for the Marshall Space Flight Center, detailing information required for requesting software titled 'STAT'. It includes sections for the requestor's personal information, usage details, and information about any associated contracts or agreements. The form must be submitted to a designated point of contact via email.

Uploaded by

olcaolgun
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

Marshall Space Flight Center

Software Release Request Form

Date Of Request: Case Number (if known)


MFS-32602-1

Software Title Requested: Version Number: Version Date:


STAT

Requestor’s Full Legal Name (Including Middle Name):

Country of Citizenship: If U.S. Permanent Resident, Alien Registration


Number:

Are you a Civil Servant? If Yes, List Agency Name:


___Yes Agency Address/Mail Code:
___No Division/Department:

Do you work for a U.S. company If Yes, List Company/University Name:


or University? Address/Mail Code:
___Yes City/State/Zip
___No

Are You the Final Recipient of Do you plan to use the software only in-house?
the Software? ___Yes
___Yes ___No
___No

Will there be Other Users of the If Yes, Indicate Which Type of Users Will Have Access
Software? To The Software?
___Yes ___Civil Servants Only
___No ___Students
___Contractors Only
___Employees Only
___Both Civil Servants & Contractors

Will this software be used for Government Contract, Grant, Cooperative Agreement, or
Space Act Agreement?
___Yes
___No
If Yes, Please Provide the Following Information:

Revision A: January 19, 2012 1


[Type text]

Contract Title:
Contract Number:
Contract End Date:

Grant Title:
Grant Number:
Grant End Date:

Space Act Title:


Space Act Number:
Space Act End Date:

Cooperative Agreement:
Cooperative Number:
Cooperative End Date:

Explain the specific purpose of how this software will be used. Please include specific
project name, analysis being conducted, problem being solved and anticipated
assistance that the code will provide to you.

Please provide the following information for the person who has company signature
authority for this transfer:
Full Name:
Title:
Company/University Name:
Address/Mail Code:
City/State/Zip:
Phone Numbers (office, fax, etc.)
Email:

Revision A: January 19, 2012 2


[Type text]

Please provide the following information for the person who should receive the
software when it is transferred:
Full Name:
Title:
Company/University Name:
Address/Mail Code:
City/State/Zip:
Phone Numbers (office, fax, etc.)
Email:

Please send this form to the email address below:


Point Of Contact: Danny Garcia
Email Address: [email protected]

Revision A: January 19, 2012 3

You might also like