Specific Instructions for filling out formMilitarily Critical Technical Data Agreement • April 14th, 2021
Certification is required per DoDD 5230.25 if you need to handle/access DoD/DND unclassified export controlled technical data for the following purposes:
ContractMilitarily Critical Technical Data Agreement • December 16th, 2023
MILITARILY CRITICAL TECHNICAL DATA AGREEMENT(Please read Agency Disclosure Notice and Instructions on back before completing this form.) OMB No. 0704-0207OMB approval expires January 31, 2016 MAIL THE ORIGINAL, COMPLETED FORM AND A COPY OF YOUR COMPANY'S INCORPORATION CERTIFICATE, STATE/ PROVINCIAL BUSINESS LICENSE, SALES TAX IDENTIFICATION FORM OR OTHER DOCUMENTATION WHICH VERIFIES THE LEGITIMACY OF THE COMPANY TO:U.S./CANADA JOINT CERTIFICATION OFFICE DLA LOGISTICS INFORMATION SERVICEFEDERAL CENTER, 74 WASHINGTON AVE., NORTH BATTLE CREEK, MI USA 49037-3084 1. TYPE OF SUBMISSION (X one) a. INITIAL SUBMISSION b. REVISION c. 5-YEAR RENEWAL 2. ENTERPRISE OR INDIVIDUAL DATA (Referred to as a "certified contractor" upon acceptance of certification by the U.S./Canada - JCO) a. NAME (Name of Enterprise or Individual) b. ADDRESS (Physical address, including P.O. Box if applicable) c. NAME OF SUBSIDIARY/DIVISION/DEPARTMENT d. CAGE CODE (Mandatory for Enterprise) 3. DATA CUSTODIAN a. NAME
Specific Instructions for filling out formMilitarily Critical Technical Data Agreement • October 4th, 2022
Certification is required per DoDD 5230.25 if you need to handle/access DoD/DND unclassified export controlled technical information for the following purposes:
ContractMilitarily Critical Technical Data Agreement • December 1st, 2022
MILITARILY CRITICAL TECHNICAL DATA AGREEMENT(Please read Agency Disclosure Notice and Instructions on back before completing this form.) OMB No. 0704-0207OMB approval expiresApr 30, 2011 MAIL THE ORIGINAL, COMPLETED COPY OF THIS FORM AND A COPY OF YOUR COMPANY'S INCORPORATION CERTIFICATE, STATE/ PROVINCIAL BUSINESS LICENSE, SALES TAX IDENTIFICATION FORM OR OTHER DOCUMENTATION WHICH VERIFIES THE LEGITIMACY OF THE COMPANY TO:U.S./CANADA JOINT CERTIFICATION OFFICEDLA LOGISTICS INFORMATION SERVICE FEDERAL CENTER, 74 WASHINGTON AVE., NORTH BATTLE CREEK, MI USA 49037-3084 1. TYPE OF SUBMISSION (X one) a. INITIAL SUBMISSION b. REVISION c. 5-YEAR RENEWAL 2. ENTERPRISE OR INDIVIDUAL DATA (Referred to as a "certified contractor" upon acceptance of certification by the U.S./Canada - JCO) a. NAME (Name of Enterprise or Individual) b. ADDRESS (Physical address, including P.O. Box if applicable) c. NAME OF SUBSIDIARY/DIVISION/DEPARTMENT d. CAGE CODE 3. DATA CUSTODIAN a. NAME OR POSITION DESIGN
ContractMilitarily Critical Technical Data Agreement • July 26th, 2019
Certification is required per DoDD 5230.25 if you need to handle/access DoD/DND unclassified export controlled technical data for the following purposes:
ContractMilitarily Critical Technical Data Agreement • December 15th, 2022
MILITARILY CRITICAL TECHNICAL DATA AGREEMENTFor use with the Joint Certification Program(Read the Agency Disclosure Notice and Instructions on the back before completing this form.) OMB No. 0704 0207OMB approval expires 20250731 1. TYPE OF SUBMISSION (X one) a. INITIAL b. REVISION c. RENEWAL 2. ENTITY OR INDIVIDUAL DATA (Referred to as a ‘Certified Contractor’ upon approval by the Joint Certification Program Office) a. NAME OF ENTITY OR SOLE PROPRIETOR (must match CAGE registry)CMI, INC. b. ADDRESS (Physical Address of CAGE, including P.O. if applicable)9 SAINT MARK ST AUBURN, MA 01501-3237 c. NAME (For Use by UNIVERSITY, COLLEGE, or HIGHER LEARNING INSTITUTION Only) d. CAGE CODE (Mandatory) 7CQM4 3. DATA CUSTODIAN (Primary)a. NAME (First, Initial, Last): Jeff Canane 3.1. DATA CUSTODIAN (Alternate)a. NAME (First, Initial, Last): b. TELEPHONE NUMBER (Direct line): 7743216212 b. TELEPHONE NUMBER (Direct line): c. OFFICIAL TITLE: c. OFFICIAL TITLE: Inside Sales Manager d. BUSINESS E
ContractMilitarily Critical Technical Data Agreement • October 15th, 2001
MILITARILY CRITICAL TECHNICAL DATA AGREEMENT(Please read Privacy Act Statement and Instructions on back before completing this form.) Form ApprovedOMB No. 0704-0207Expires October 31, 2004 The public reporting burden for this collection of information is estimated to average 20 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0207), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if
ContractMilitarily Critical Technical Data Agreement • March 7th, 2005
MILITARILY CRITICAL TECHNICAL DATA AGREEMENT(Please read Agency Disclosure Notice, Privacy Act Statement and Instructions on back before completing this form.) OMB No. 0704-0207OMB approval expires MAIL THE ORIGINAL, COMPLETED COPY OF THIS FORM AND A COPY OF YOUR COMPANY'S INCORPORATION CERTIFICATE, STATE/ PROVINCIAL BUSINESS LICENSE, SALES TAX IDENTIFICATION FORM OR OTHER DOCUMENTATION WHICH VERIFIES THE LEGITIMACY OF THE COMPANY TO:U.S./CANADA JOINT CERTIFICATION OFFICEDEFENSE LOGISTICS INFORMATION SERVICE FEDERAL CENTER, 74 WASHINGTON AVE., NORTH BATTLE CREEK, MI USA 49037-3084 1. TYPE OF SUBMISSION (X one) a. INITIAL SUBMISSION b. REVISION c. 5-YEAR RENEWAL 2. ENTERPRISE OR INDIVIDUAL DATA (Referred to as a "certified contractor" upon acceptance of certification by the U.S./Canada - JCO) a. NAME (Name of Enterprise or Individual) b. ADDRESS (Physical address, including P.O. Box if applicable) c. NAME OF SUBSIDIARY/DIVISION/DEPARTMENT d. CAGE CODE 3. DATA CUSTODIAN a. NAME OR
MILITARILY CRITICAL TECHNICAL DATA AGREEMENTMilitarily Critical Technical Data Agreement • August 25th, 2021
MAIL THE ORIGINAL, COMPLETED FORM AND A COPY OF YOUR COMPANY'S INCORPORATION CERTIFICATE, STATE/ PROVINCIAL BUSINESS LICENSE, SALES TAX IDENTIFICATION FORM OR OTHER DOCUMENTATION WHICH VERIFIES THE LEGITIMACY OF THE COMPANY TO:
Militarily Critical Technical Data Agreement DD Form 2345 is used for:Militarily Critical Technical Data Agreement • July 15th, 2019
• to attend gatherings such as symposiums; program briefings; meetings designed to publicize advance requirements of contracting agencies; pre-solicitation, pre-bid, pre-proposal, pre-award conferences; workshops; and tours.
