DA Form 2962 Security Termination Statement

DA Form 2962 Security Termination Statement

What Is DA Form 2962?

This is a military form that was released by the U.S. Department of the Army (DA) on September 1, 1977. The form, often mistakenly referred to as the DD Form 2962 Personnel Security System Access Request (Pssar) - Defense Manpower Data Center (Dmdc) - Defense Information System for Security (Diss) Access, is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DA.

FAQ

Q: What is DA Form 2962?
A: DA Form 2962 is the Security Termination Statement form.

Q: What is the purpose of DA Form 2962?
A: The purpose of DA Form 2962 is to document the termination of security clearances and access for individuals.

Q: Who uses DA Form 2962?
A: DA Form 2962 is used by military personnel, government employees, and contractors who need to terminate security clearances and access.

Q: How do I fill out DA Form 2962?
A: To fill out DA Form 2962, you will need to provide personal information, details about the security clearance being terminated, and the reason for termination.

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Form Details:

  • A 2-page document available for download in PDF;
  • The latest version available from the Army Publishing Directorate;
  • Editable, free, and easy to use;

Download an up-to-date fillable DA Form 2962 down below in PDF format or browse hundreds of other DA Forms stored in our online database.

Download DA Form 2962 Security Termination Statement

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