Security Clearance Revocation and Appeal Process
This file outlines the consequences of security clearance revocation and the appeal process for military personnel. It provides vital information regarding procedures that must be followed if a security clearance is revoked. Users can find detailed instructions on how to appeal and regain their security clearance within this document.
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How do I fill this out?
To fill out this form, first read the Letter of Intent carefully to understand the reasons for the revocation. Next, prepare your appeal by addressing each issue outlined in the letter and gather supporting documents. Finally, submit your appeal through your chain of command for endorsement.

How to fill out the Security Clearance Revocation and Appeal Process?
1
Read the Letter of Intent carefully.
2
Gather supporting documents for your appeal.
3
Address each issue raised in the LOI.
4
Write your appeal and intentions clearly.
5
Submit your appeal through your chain of command.
Who needs the Security Clearance Revocation and Appeal Process?
1
Military personnel seeking to retain their security clearance due to potential revocation.
2
Commanders who need to guide soldiers through the appeal process.
3
Legal advisors assisting soldiers with security clearance issues.
4
Financial counselors helping soldiers mitigate derogatory credit issues.
5
Human Resource officers ensuring compliance with military regulations.
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What are the instructions for submitting this form?
To submit this form, you should complete it thoroughly, including all required fields and supporting documentation. Once finished, route the form through your chain of command for their endorsement and ensure it reaches the Central Clearance Facility. For fax submissions, use the specified number on the form; for email submissions, follow the outlined contacts in the instructions.
What are the important dates for this form in 2024 and 2025?
Important dates for submitting appeals and reconsiderations are critical. Appeals must typically be submitted within 60 days of receiving the Letter of Intent, and requests for reconsideration must be submitted within 60 days following a denial. It's advisable to check for any updates or changes in Army regulations regarding submission timelines.

What is the purpose of this form?
The purpose of this form is to provide a clear and structured process for military personnel facing security clearance revocation. It outlines the necessary steps to appeal and the documentation required to support an individual's case. Understanding this process is essential for ensuring fair treatment and the opportunity to retain one's military career.

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

- 1. Name: The full name of the individual appealing the revocation.
- 2. Rank: The military rank of the individual.
- 3. Unit: The military unit the individual belongs to.
- 4. Date of Intent: The date the Letter of Intent was received.
- 5. Details of Appeal: A section to elaborate on the appeal and provide supporting arguments.
What happens if I fail to submit this form?
If you fail to submit this form, you risk permanent revocation of your security clearance. This can have serious implications on your military career and duties. It's imperative to address the revocation in a timely manner to maintain your qualifications.
- Loss of Clearance: Failure to appeal results in an automatic loss of your security clearance.
- Career Impact: Revocation may hinder future career opportunities and promotions.
- Increased Scrutiny: Derogatory information may lead to further scrutiny and investigations.
How do I know when to use this form?

- 1. Upon Receiving LOI: Use this form immediately after receiving your Letter of Intent.
- 2. To Submit Appeal: Utilize this form to formally appeal the security clearance revocation.
- 3. Request for Reconsideration: Use this form to request reconsideration after a denial.
Frequently Asked Questions
What should I do if my security clearance is revoked?
If your security clearance is revoked, you should carefully review the Letter of Intent and prepare to appeal within the specified timeframe.
How do I appeal a security clearance revocation?
To appeal, address each issue in the Letter of Intent and include supporting documentation when submitting your appeal.
What happens after I submit my appeal?
Once submitted, the CCF will review your appeal and respond within 60 to 90 days.
Can I request additional time to appeal?
Yes, you may submit a request for an extension, but it must be endorsed by your immediate commander.
What should I include in my appeal?
Your appeal should include a detailed response to the issues raised in the LOI and supporting documents.
How long do I have to submit a Request for Reconsideration?
You have 60 days after receiving a denial to submit a Request for Reconsideration.
What if my appeal is denied?
If your appeal is denied, you can submit a Request for Reconsideration based on new mitigating information.
Who can help me with the appeal process?
Legal advisors and military personnel familiar with the regulations can assist you throughout the appeal process.
Will my commanders be involved in the appeal?
Yes, at least one of your commanders must endorse your appeal.
What are the consequences of failing to appeal?
Failing to appeal may result in permanent revocation of your security clearance and loss of military occupational specialty opportunities.
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