DOE ID - EditRequest

Request Date:

10/23/2025

* Name of Requester:

* Telephone:

Video Teleconference (VTC) —

* VTC /Title:

* Date:

* Start Time:

* End Time:

Alternate Date:

Alt. Start Time:

Alt. End Time:

* Facilitator's Name:

* Facilitator's Telephone #:

* Facilitator's Email:

POC is the same as Facilitator

* Point of Contact's Name:

* POC's Telephone #:

* POC's Email:

* Classification (e.g. Confidential, Secret, etc.):

Preferred Network:

IMPORTANT NOTES:

Conference rooms 34E, 91 and 113 - All Participants must at a minimum be "L" cleared for escorted access.
Conference room 113 - At least one participant must be Q cleared and have keycard access to the IAB Annex and Conference room.
PowerPoint and video presentations can only be supported on ESN/SRDNet.

Additional Notes/Comments:

* Number of Participant Sites (See below):

Participant Sites Attending: (Indicate Site Name, POC, Phone and Email)

Click "Save Participant Site" to save it and add another

Site Name:

POC's Name:

POC's Telephone:

POC's Email:

Clear Form

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