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Personnel Security Forms

The forms available below are in Adobe Acrobat format.  A FREE copy of Acrobat Reader may be downloaded by clicking on the link at the bottom of this page.  Using Reader, these forms may be filled out and printed but not saved.

When completing form sf86f05, make sure that all blocks are completed.  If a block is not applicable, ente "N/A".  Using Acrobat or Reader to complete this form, the program will complete unused fields.  Clicking on the check box at the bottom of each page will produce a box with a list of any fields that may not have been filled in properly.  You may then go back and complete those fields before printing the page, which will speed up the overall procedure of the PSI process.

For guidance in completing the form, you may access instructions by clicking here.

As for who needs to submit what forms, click here.

 

PSI Form Downloads
1. Authorization For Release of Information: 85 0release.pdf 6. PSI Package Checklist: DIRAUX 2SECCEN PSI CHECKLIST.pdf
2. Verification of U.S Citizenship: USCG-AUXILIARYctizenship.pdf 7. Disclosure and Information: DHS1100-9.pdf
3. Enrollment ID Card Form: ENROLLMENTIDCARDFORM.pdf 8. Questionnaire For National Security Positions: sf86f05.pdf
4. Clearance Information Cover Sheet: OFI86C.pdf 9. Continuation Sheet For Questionaires: sf86a_f.pdf
5. Special Agreement Check (SAC)SACAgreementBVS-INSw-citizenship2.pdf:  

 

 

Simplified Requirements:

Operational Support Package forms to be submitted:
 
One copy of the OFI 86(C) form.  Fill in items 1, 2, 3, 4, 5, 6, 13(a) and 13(b) only.  (item 4 above)
Do NOT sign or date this form.  Make sure you enter your full name (spell out your Middle Name) and the FULL names of your Mother and Father (including their full middle names).
 
One copy of the SF 85 form (this has "Page 6" in the lower left).  DO NOT USE page 10 of the SF-86 form.  Fill it out and enter your full name (including your middle name).  Sign this form using BLUE INK. (item 8 above)
 
Two Fingerprint Cards fill out with Black Ink.  Make sure you enter your full name, including your middle name.  These forms and fingerprints can be obtained by seeing Ellen Kreiling or other fingerprint specialist.
 
One copy of the Verification of U.S.  Citizenship form.  The member fills in the top section and signs, and the verifier fills in the bottom section and signs.  After the original document (usually the original Birth Certificate or Passport) is reviewed by the verifier, make a copy of the document and attach it to the completed Verification Form.  (item 2 above)
 
Direct Operations Package forms to be submitted:
 
Two identical originals of the SF 86 form (11 pages).  All spaces must be filed in.  Fill in  N/A if no other answer applies in a space.  Sign pages 9, 10 and 11 using BLUE INK ONLY.  (item 4 above)
 
One copy of the DHS 11000-9 form.  Fill it would ands sign with BLUE INK ONLY.  (item 7 above)
 
Two Fingerprint Cards filled out in Black  Inc.  Make sure you enter your full name, including your middle name.  These forms and fingerprints can be obtained by seeing Ellen Kreiling or other fingerprint specialist.
 
One copy of the Verification of U.S. Citizenship (completed as above stated)  (item 2 above)

 

 

For a more detailed look at all requirements, go to www.d7oax3.net and scroll down to the green box which says SECURITY POLICY and take it from there?


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Last updated: February 11, 2006