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FIPS 201 Evaluation Program
Central Certificate Validator Registration Form

The following form needs to be completed by an organization that wants to utilize the GSA Central Certificate Validator (CCV) for validating certificates using the Server-based Certificate Validation Protocol (SCVP).

General Organization Information
Organization Name
Address 1
Address 2
City State/Province
Zip/Postal
Country
Phone
(123.456.7890)

Contact Information

Primary Contact
Name
Phone
(123.456.7890)
Email

Secondary Contact

Name
Phone
(123.456.7890)
Email

No of Connections
#

Are the certificates going to be installed in:
Readers Host Systems Both

Do you want to be able to issue your own certificates†?
Yes
No
† Selecting "Yes" implies the use of an Issuer CA certificate request

Certificate Signing Request
You have elected to generate your own keys. In order to complete the registration you must submit a Certificate Signing Request.

Signature
I hereby claim that I am authorized to sign this form on behalf of the above specified organization. I acknowledge that l have to the best of my knowledge completed the form above.
Name Date 02/07/2012
Designation

     
      Product/Services Category List

      Evaluation Program CONOPS

      Requirements Traceability Matrix

      Acquisition Process

      Card to Reader Interop Guideline

      Agency APL Verification List

      Test Card Configurations

      Suppliers Handbook

      CCV RTM

      CCV Req and Resp Profiles

Lab Documentation

Forms and Templates

Approval Procedures

Test Procedures

Special Publications

Supporting Documents
 

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Page Created: 03/10/2006  |  Last Updated: 03/10/2006