Form Opnav 5500 13 PDF Details

Form Opnav 5500 13 is a Department of Defense (DoD) issued form that is used to authorize the expenditure of funds by members and employees of the United States military. The form must be completed and submitted to the Naval Finance and Accounting Service prior to any funds being spent. individuals who are authorized to spend money using this form include active duty members of the military, reservists, National Guard members, and Department of Defense employees. The form must be accompanied by an approved budget worksheet, which lists all anticipated expenses associated with the proposed expenditure. failure to adhere to these guidelines can result in disciplinary action.

QuestionAnswer
Form NameForm Opnav 5500 13
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namesopnav 5500 13, COMNAVNETWARCOM, electronic spillage action form, MMM

Form Preview Example

FOR OFFICIAL USE ONLY

COMNAVNETWARCOM NORFOLK VA 032052z NOV 08 (ALCOM 156/08)

(WHEN FILLED IN)

 

 

 

ELECTRONIC SPILLAGE ACTION FORM (ESAF)

(To be completed by affected commands)

SUBMIT TO ESC (if NNPI, TS, or SCI submitt via SIPR)

nnwc_spillages@navy.mil nnwc_spillages@navy.smil.mil

NNWC ES Center SITREP # (if established):

Section 1: Initial Information - To be completed by Command Security Manager

1. Date ES Occurred:

Time ES Occurred

(DD MMM YYYY)

(24 hour clock)

2. Date ES Discovered

Time ES Discovered

(DD MMM YYYY)

(24 hour clock)

3. Date ES Reported

Time ES Reported

(DD MMM YYYY)

(24 hour clock)

4.Classification Level of Information:

5.Originator of ES (Command and User):

6.Method of Transfer (e.g. naval message/DTG, Email, portable media, keyboard generated):

7.Subject of Information (If email, provide email subject line):

8. Did Subject Change:

Yes

No

If yes, provide new subject:

 

 

9.File Name and File Type (e.g., schedule.doc, change.ppt):

10.Classification of Affected Network:

11.List All Commands Affected, If Known (Plain Language Address (PLA), if possible):

12.ES Reported by (provide name, position, and phone):

Reporting Command Information

13.

Command Security Manager:

14.

Command Security Manager Phone Number:

15.

Command Security Manager Email Address:

 

 

 

 

16.

Command:

17. Command PLA:

18. Command Physical Address:

 

 

 

 

 

 

19.

Command Security Manager notified:

Yes

No

 

 

 

 

 

 

 

 

20.

Information Assurance Manager (IAM) Name:

21.

IAM Phone Number:

22.

IAM Email Address:

 

 

 

 

 

 

 

23.Event Description:

24.Command Operational Impact :

Section 2: Electronic Spillage Information - To be completed by Information Assurance Manager

OPNAV 5500/13 (Nov 2008)

FOR OFFICIAL USE ONLY

Page 1 of 4

 

(WHEN FILLED IN)

 

FOR OFFICIAL USE ONLY

(WHEN FILLED IN)COMNAVNETWARCOM NORFOLK VA 032052z NOV 08 (ALCOM 156/08)

25. Affected Network Type and Domain Name:

26. Number of Workstation(s) Affected At Command:

27. Number of User(s) Affected At Command:

28. Provide Email Address of Originator and All Recipients (If applicable):

29. Provide the Following Information:

*COMPLETE FOR NMCI ASSETS*

 

 

 

 

 

 

 

 

 

 

 

 

Login Name

 

Workstation Name

Building Number

Office Phone Number

PED Serial Number

 

 

(e.g., john.p.doe)

 

(e.g. WDLTLC256758)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

30. Information Printed:

Yes

Printer Name(s) (Include server name and path):

31. Information Saved:

Yes

Location(s) (Include server name and path):

No

No

32.Public Folder Affected (Include server name and path):

33 Date/Time Documentation Placed in Folder:

34.Functional Account Involved:

35.Functional Account Users Involved:

36.Functional Mailbox Involved:

37.Functional Mailbox Users Involved:

38.Non-Government Assets Involved: If yes, provide mitigation efforts:

Yes

No

Section 3: Electronic Spillage Information - To be completed by Originating Command

39.

OCA Classification Determination Date OCA Classification Determination Time:

 

(DD MMM YYYY)

(24 hour clock)

 

 

 

40.

PI Completion Date

PI Completion Time:

 

(DD MMM YYYY)

(24 hour clock)

OPNAV 5500/13 (Nov 2008)

FOR OFFICIAL USE ONLY

Page 2 of 4

 

(WHEN FILLED IN)

 

FOR OFFICIAL USE ONLY

COMNAVNETWARCOM NORFOLK VA 032052z NOV 08 (ALCOM 156/08)

(WHEN FILLED IN)

 

ESAF BLOCK QUIDANCE

SECTION 1:

Reporting Command Information

INITIAL DATA

 

(To be completed by Command Security Manager)

BLOCK 13: Command Security Manager

 

-First and Last name of the CSM at reporting

BLOCK 1: Date and Time ES Occurred

command.

-Expressed as DD/MMM/YYYY and local time.

 

 

BLOCK 14: Phone #

BLOCK 2: Date and Time ES Discovered

-Provide 10 digit number.

-Expressed as DD/MMM/YYYY and local time.

 

 

BLOCK 15: Email

BLOCK 3: Date and Time ES Reported

-Provide email address.

-Expressed as DD/MMM/YYYY and local time.

 

 

BLOCK 16: Command

BLOCK 4: Classification Level

-Common name of command.

-The classification the information was received as

 

or the classification the information should be.

BLOCK 17: PLA

 

-Full PLA of command

BLOCK 5: Originator of ES

 

-Provide Plain Language Address (PLA) of

BLOCK 18: Physical Address

originating command, if possible.

-Local Address of command

-If PLA is unknown, provide common command

 

name. -Provide originating individual of ES, if

BLOCK 19: Command Information Assurance Manager

possible.

(IAM) Notified:

 

-Provide a yes or no answer.

BLOCK 6: Method of Transfer

 

-How was the ES transferred to/from workstation.

BLOCK 20: IAM

-Portable Media is defined as: CD-ROM, Floppy Disk,

-First and Last name of the IAM at reporting

Thumb Drive, Memory Stick, Flash Drive, Portable

command.

Hard Disk Drive.

 

-Keyboard Generated is defined as: Scanned, Locally

BLOCK 21: Phone #

typed information saved to a drive.

-Provide 10 digit number.

-Naval Message: Provide DTG of the naval message

 

-Web Posting and Chat are also possible methods.

BLOCK 22: Email

 

-Provide email address.

BLOCK 7: Subject of Information

 

-If a single file, provide subject of the file.

 

-If an email, provide the email subject line.

Section 2:

-If naval message, provide subject line only

Electronic Spillage Information

 

(To be completed by Information Assurance Manager)

BLOCK 8: Did Subject Change

 

-If subject changed, provide new subject information.

BLOCK 23: Event Description

 

-Provide command view point of how ES

BLOCK 9: File Name and File Type

occurred.

-Provide all file names and file types involved:

 

(e.g., schedule.doc; change.ppt; good day.xls)

BLOCK 24: Command Operational Impact:

 

-Provide description of how this ES may

BLOCK 10: Classification of the Affected Network

impact command status.

-Provide the classification of the network the ES was

 

presented to: (e.g., Unclas, Secret, U-NNPI, Top Secret)

BLOCK 25: Affected Network Type and Domain Name

 

-Provide the network the ES occurred on

BLOCK 11: List All Commands Affected, If Known

and the domain name of the network.

-Provide the list of all commands as a PLA, if possible.

 

-If PLA is unknown, provide common command name.

BLOCK 26: Number of Workstations Affected at Command

 

-How many workstations affected by ES.

BLOCK 12: ES Reported by

 

-Provide the name, position and phone number

 

of the reporting individual.

 

OPNAV 5500/13 (Nov 2008)

FOR OFFICIAL USE ONLY

Page 3 of 4

 

(WHEN FILLED IN)

 

FOR OFFICIAL USE ONLY

COMNAVNETWARCOM NORFOLK VA 032052z NOV 08 (ALCOM 156/08)

(WHEN FILLED IN)

 

ESAF BLOCK QUIDANCE

(Continued)

BLOCK 27: Numbers of Users Affected at Command:

-How many users affected by ES.

BLOCK 28: Provide Email Address of Originator and All Recipients -List originator and all recipients of the email causing the ES: (i.e., john.doe@ncis.navy.mil)

BLOCK 29: Provide the following Information for NMCI Assets Only -PED is defined as a Portable Electronic Device:

(e.g., BlackBerry, Palm, etc.)

BLOCK 30: Information Printed

-Provide the server name of the printer and path to the printer

BLOCK 31: Information Saved

-Provide the server name and path to location saved.

BLOCK 32: Public Folder Affected

-Provide the server name and path to the public folder.

BLOCK 33: Date/Time Information Placed in Folder -Expressed as DD/MMM/YYYY and local time.

BLOCK 34: Functional Account Name Involved -Functional account is defined as a single login workstation with multiple users attached.

BLOCK 35: Functional Account Users Involved -Provide the users associated with this account.

BLOCK 36: Functional Mailbox Involved

-Functional mailbox is defined as single email address associated with the functional account.

BLOCK 37: Functional Mailbox Users Involved

- Provide the users associated with this account.

BLOCK 38: Non-Government Assets Involved

-Describe the mitigation efforts for those workstations affected outside the Navy.

Section 3:

Electronic Spillage Information

(To be completed by Originating Command)

BLOCK 39: OCA Classification Determination Date/Time -Expressed as DD/MMM/YYYY and local time.

BLOCK 40: PI Completion Date/Time

-Expressed as DD/MMM/YYYY and local time.

OPNAV 5500/13 (Nov 2008)

FOR OFFICIAL USE ONLY

Page 4 of 4

 

(WHEN FILLED IN)

 

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Step # 1 for filling in YYYY

2. Your next stage is to fill out the following fields: Classification of Affected Network, List All Commands Affected If, ES Reported by provide name, Command Security Manager, Command Security Manager Phone, Command Security Manager Email, Reporting Command Information, Command, Command PLA, Command Physical Address, Command Security Manager notified, Yes, Information Assurance Manager IAM, IAM Phone Number, and IAM Email Address.

How to fill out YYYY stage 2

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Part # 3 for completing YYYY

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