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How do I fill this out?

To fill out this form, start by entering the date and the name of the military department. Next, provide details on the number of bags and hard drives. Finally, ensure all signatures and required information are accurate before submission.

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How to fill out the Classified Material Destruction Record Form?

  1. 1

    Enter the date and agency information.

  2. 2

    List the number of bags, categorizing by classification.

  3. 3

    Specify the total number of hard drives.

  4. 4

    Include the names of the delivery personnel.

  5. 5

    Double-check the information before submission.

Who needs the Classified Material Destruction Record Form?

  1. 1

    Military personnel who manage classified materials.

  2. 2

    Security officers responsible for compliance with protocols.

  3. 3

    Administrative staff handling the disposal process.

  4. 4

    Supervisors overseeing classified waste destruction.

  5. 5

    Delivery personnel transporting classified materials.

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What are the instructions for submitting this form?

To submit this form, please send it to the designated office via email at submission@agency.mil or fax it to (703) 695-1829. For online submission, use the agency's secure online portal. Physical submissions can be mailed to Pentagon Classified Waste Destruction Facility, 300 Boundary Channel Drive, Arlington VA 22202. It is advisable to keep a copy for your records.

What are the important dates for this form in 2024 and 2025?

For the Classified Material Destruction Record, important dates include submission deadlines for annual audits and compliance reviews. In 2024, ensure that all records are submitted by March 31. For 2025, the deadline remains on March 31.

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What is the purpose of this form?

The purpose of this form is to document the destruction of classified materials properly. This ensures compliance with regulations surrounding classified material handling and disposal. Accurate completion of this form helps maintain security protocols and safeguard sensitive information.

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Tell me about this form and its components and fields line-by-line.

The form includes various components for capturing necessary data related to classified material disposal.
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  • 1. DATE: The date of destruction in the format YYYYMMDD.
  • 2. MILITARY DEPARTMENT OR AGENCY NAME: The name of the responsible military department or agency.
  • 3. OFFICE SYMBOL OR COMPONENT NAME: The office symbol or name of the component responsible.
  • 4. TELEPHONE NUMBER: A contact telephone number including area code.
  • 5. NUMBER OF BAGS: Total number of bags used for destruction.
  • 6. NUMBER OF UNCLASSIFIED OR CUI BAGS: Total number of unclassified or CUI bags processed.
  • 7. NUMBER OF CONFIDENTIAL BAGS: Total number of confidential bags destroyed.
  • 8. NUMBER OF SECRET BAGS: Total number of secret bags destroyed.
  • 9. NUMBER OF TOP SECRET BAGS: Total number of top secret bags destroyed.
  • 10. NUMBER OF SCI BAGS: Total number of SCI bags destroyed.
  • 11. TOTAL NUMBER OF BAGS: Aggregate number of all bags used.
  • 12. REMARKS: Additional notes or comments regarding the destruction process.
  • 13. TOTAL NUMBER OF HARD DRIVES: Total number of internal hard drives being disposed of.
  • 14. NAME OF DELIVERY PERSON(S): Names of personnel delivering materials for destruction.
  • 15. RECEIVED BY: Name of the personnel receiving the classified materials.

What happens if I fail to submit this form?

Failing to submit this form may result in non-compliance with classified material destruction protocols. This can lead to potential security risks and administrative penalties. It is imperative to adhere strictly to submission guidelines to ensure accountability.

  • Security Risks: Failure to document destruction may lead to sensitive information being improperly handled.
  • Non-compliance Penalties: Non-compliance can result in disciplinary actions against responsible personnel.
  • Operational Delays: Delays in processing destruction requests may arise due to incomplete forms.

How do I know when to use this form?

Use this form when you are disposing of classified materials to ensure accountability and compliance with regulations. It is essential for maintaining the integrity of classified information. Ensure this form is completed for each disposal event accurately.
fields
  • 1. Destruction of Classified Documents: To document the safe disposal of classified documents.
  • 2. Disposal of Restricted Materials: To record the destruction of restricted materials accurately.
  • 3. Hard Drive Destruction: To ensure the proper handling of internal hardware pertaining to classified data.

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