Coast Guard Direct Access Details

Have you ever had to fill out the Form Cg 7421G? If not, you're probably wondering what it is. The Form Cg 7421G is a required document for all Canadian citizens and permanent residents who are 18 years of age or older and wishing to purchase or acquire a long gun. This form must be filled out regardless of whether or not the firearm being purchased is new or used. Let's take a closer look at what this form entails, and why it's important that you complete it correctly.

Here is the data concerning the form you were seeking to complete. It will show you the time you'll need to fill out form cg 7421g, exactly what parts you need to fill in, etc.

QuestionAnswer
Form NameForm Cg 7421G
Form Length2 pages
Fillable?Yes
Fillable fields38
Avg. time to fill out8 min 10 sec
Other namesHSWL, CG-7421G, uscg direct access, CISM

Form Preview Example

 

 

 

Please fill out online or print neatly!

 

 

U.S. DEPARTMENT OF

 

DIRECT ACCESS WORK-LIFE MANAGEMENT SYSTEM

 

HOMELAND SECURITY

 

 

U. S. Coast Guard

 

USER ACCOUNT AUTHORIZATION

 

CG-7421G (Rev. May 2013)

 

 

 

 

 

 

 

1. User’s Name (Last, First, MI.) (Please print or

type)

 

2. Rank/Rate:

3. Employee ID #

 

 

 

 

 

 

4. Dept ID & Unit Name (Include Staff Symbol)

5. Area Code & Phone Number:

6. e-Mail address:

7. User Role Description:

WIMS User Access Approval:

Family Advocacy Specialist

Please see “How to complete and route the User Access Form (CG-7421G)

at http://www.uscg.mil/ppc/wims/ for the approval process and listing of

 

Family Advocacy Program Manager

authorized approvers

Special Needs Specialist

Direct Access User Roles:

Special Needs Program Manager

Direct Access user roles and access are administered separately. Please

Substance Abuse CDAR

complete form CG-7421B for changes/additions to Direct Access user roles.

Substance Abuse SAP

 

Substance Abuse Program Manager

Revocation:

Sexual Assault Specialist

Direct Access Roles are automatically terminated upon PCS, separation,

retirement, reassignment of duties (Fleet-Ups) and change of organization

Sexual Assault Program Manager

(inter-office transfer).

Critical Incident Stress Management Specialist (CISM)

Users who have been reassigned (PCS, Change of Department IDs) will

 

CISM Program Manager

retain Self-Service access.

Employee Assistance Specialist

The user role termination process is kicked off by submission of a PCS

Employee Assistance Program Manager

departing endorsement. If the member submits a new access form, and it is

Workplace Violence & Threatening Behavior Specialist

processed by PPC before the SPO submits the PCS departing

endorsement, the system will terminate the new access. Please be sure to

Workplace Violence & Threatening Behavior Program Manager

submit transactions in a timely manner.

Victim Witness Specialist

If Revocation is due to reasons other than those listed above contact PPC

Victim Witness Program Manager

Customer Care via on-line trouble-ticket at http://www.uscg.mil/ppc/ccb or

__________________________(Other Role, not listed above)

http://cgweb.ppc.uscg.mil/ccb/ or via email at PPC-DG-CustomerCare@uscg.mil

8. Authorizing Official (Signature & Typed or printed name, Rank, Title (HSWL Product-Line Manager (PLM) (Field Office Supervisor)) & Phone Number):

I certify that the access I have authorized is based on an official need. I'm aware of the general functionality I have authorized and I'm aware of what this will allow this member to complete. If this is for a contractor, the Contracting Officer’s Technical Representative (COTR) signs as AO.

____________________________________________________________________________________________________________________

Signature AND PRINTED or TYPED Name,

Rank,

Title,

8a. Area Code & Phone (ext):

 

9. Date:

10 . Approving Official (Signature & Typed or printed name, Rank, Title (Headquarters Program Manager, Work-life Division Chief):

I certify that the access I have authorized is based on an official need. I'm aware of the general functionality I have authorized and I'm aware of what this will allow this member to complete. If this is for a contractor, the Contracting Officer’s Technical Representative (COTR) signs as AO.

____________________________________________________________________________________________________________________

Signature AND PRINTED or TYPED Name,

Rank,

Title,

10a. Area Code & Phone (ext):

11. Date:

Privacy Act Statement

AUTHORITY:Executive Order 10450, 9397; and Public Law 99-474, the Computer Fraud and Abuse Act.

PRINCIPAL PURPOSE: To record names, signatures, and other identifiers for the purpose of identifying individuals requesting access to U. S.

 

Coast Guard (USCG) systems and information. NOTE: Records may be maintained in both electronic and/or paper form.

ROUTINE USES:

None.

DISCLOSURE:

Disclosure of this information is voluntary; however, failure to provide the requested information may impede, delay or

 

prevent further processing of this request.

Acknowledgment: I understand that I am authorized to access the Direct Access system and that accessing it for purposes beyond the Scope of

Authorization is a violation of Federal law (18 U.S.C. 1030 et al) (Note: Refer to the Automated Information Systems (AIS) User Acknowledgement Form (CG-5500A), which is required for all U.S. Coast Guard AIS users, it contains the full Scope of Authorization and Acknowledgement.)

12. User's Signature:

13. Date:

U.S. DEPT. OF HOMELAND SECURITY, USCG, CG-7421G (Rev. May 2013)

Fax to: (785) 339-2297

(fax only page 1, do not fax instructions)

CG-7421G (Rev. May 2013) (Reverse)

Please “How to complete and route the User Access Form (CG-7421G) at http://www.uscg.mil/ppc/wims/ for additional/updated information.

Block Instructions

1Enter the user’s last name, first name and middle initial.

2Enter the user’s Rank (e.g. “CAPT”) or Rate (e. g. “YN1”) or GS paygrade (e. g. “GS7”)

3Enter the user’s employee number. The employee ID number can be found on the unit roster. Any member of the command that already has access to Direct-Access can access the unit roster and locate the employee’s employee ID number. Follow these steps to access the unit roster:

Select the following links on the Portal home page: Self Service for Commands > Use >

Command Information

The department lookup page will display. The relationship type field will show "Own unit only" and the department field will show your sub-department ID number. Enter the department ID number for the unit in the department field.

Click the Search button to continue.

When the Airport Terminal displays click on the CG Dept Run tab.

Choose “Civilian” from the drop-down menu in the Source field.

Click the Execute button. The roster section will fill in with the information. Only the first five rows will be displayed. Click the View All link to see the remaining rows. The Employee ID number is shown in the second column.

4Enter the name of the unit the user is assigned, include the staff symbol if applicable.

5 Enter the user’s business phone number, including the area code 6 Enter the user’s business e-mail address.

7 Choose the appropriate user role from the list provided.

 

Role

Requires Approval by:

 

 

 

 

 

 

 

 

 

1.

Family Advocacy Specialist

 

 

 

 

 

2.

Special Needs Specialist

 

 

 

 

 

3.

Family Advocacy PM

 

 

 

 

 

4.

Special Needs PM

 

 

 

 

 

5.

Substance Abuse CDAR

 

 

 

 

 

6.

Substance Abuse SAP

 

 

 

 

 

7.

Substance Abuse PM

Please see “How to complete and route the

 

8.

Sexual Assault Specialist

 

 

 

 

 

 

User Access Form (CG-7421G) at

 

9.

Sexual Assault PM

 

http://www.uscg.mil/ppc/wims/ for

 

10.

Critical Incident Stress Management Specialist (CISM)

 

additional/updated information

 

11.

CISM PM

 

 

 

 

 

 

12.

Employee Assistance Specialist

 

 

 

 

 

13.

Employee Assistance PM

 

 

 

 

 

14.

Workplace Violence & Threatening Behavior Specialist

 

 

 

 

 

15.

Workplace Violence & Threatening Behavior PM

 

 

 

 

 

16.

Victim Witness Specialist

 

 

 

 

 

17.

Victim Witness PM

 

 

 

 

8The HSWL Regional Manager (RM) (Field Office Supervisor) will complete block 8.

9 Enter the date the form was signed by the authorizing official

10 Enter the Name, Rank, Title and Phone number of the approving official. (See “Requires Approval by” above)

11 Enter the date the form was signed by the authorizing official 12 User signs here.

13 Enter the date the form was signed by the user.

CG-7421G (Rev. May 2013) (Reverse)

2

How to Edit Form Cg 7421G

The PDF editor was developed to be so simple as possible. Since you keep to the following steps, the procedure for preparing the HSWL file will undoubtedly be simple.

Step 1: On the web page, press the orange "Get form now" button.

Step 2: The file editing page is presently available. Include text or enhance existing data.

Type in the appropriate data in every section to complete the PDF HSWL

PCS gaps to fill out

Inside the part Family Advocacy Specialist Family, WIMS User Access Approval: Please, Title, Title, Rank, Rank, Privacy Act Statement, AUTHORITY: PRINCIPAL PURPOSE: To, Executive Order 10450, ROUTINE USES: DISCLOSURE:, and Coast Guard (USCG) systems and type in the details which the program demands you to do.

step 2 to entering details in PCS

Mention the important information in Acknowledgment: I understand that, and Fax to: (785) 339-2297 (fax only area.

part 3 to filling out PCS

Step 3: Hit the "Done" button. Now it's possible to transfer the PDF file to your electronic device. Aside from that, you'll be able to forward it via email.

Step 4: Generate copies of your file - it will help you refrain from future troubles. And don't get worried - we do not reveal or read your details.

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