Subject Matter Expert Certification

CERTIFICATION

The undersigned certify that they have reviewed, pursuant to applicable Department of Energy (DOE) Directives, U.S. laws and regulations, the request for access approval for [Enter NAME], [Enter FACTS Visit/Assignment Number AOLNUMBER] and considered all the sensitivity factors associated with the requested access to DOE sites, programs, information, and technologies. This review was consistent with the professional standards and practices used to ensure any risk to the Government associated with access approval as appropriately identified and evaluated. The undersigned concur with the requested access to DOE sites, programs, information, and technologies.

______Classification & Technology Transfer Signature Date Print Name

______Counterintelligence Signature Date Print Name

______Cyber Security Signature Date Print Name

______Export Control Signature Date Print Name

______Security Signature Date Print Name ______Host Signature Date Print Name

I certify that my subject matter experts have reviewed, pursuant to the applicable DOE Directives, U.S. laws and regulations, the request for access approval for [Enter NAME], [Enter FACTS Visit/Assignment Number AOLNUMBER] and concurred with the requested access to DOE sites, programs information, and technologies.

______Approval Authority Signature Date Print Name