DD Form 1910 "Clearance Request for Public Release of Department of Defense Information"

What Is DD Form 1910?

This is a form that was released by the U.S. Department of Defense (DoD) on April 1, 2016. The form, often mistakenly referred to as the DA Form 1910, 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 DoD.

Form Details:

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

Download an up-to-date fillable DD Form 1910 down below in PDF format or browse hundreds of other DoD Forms compiled in our online library.

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Download DD Form 1910 "Clearance Request for Public Release of Department of Defense Information"

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CLEARANCE REQUEST FOR PUBLIC RELEASE OF DEPARTMENT OF DEFENSE INFORMATION
TO:
Chief, Defense Office of Prepublication and Security Review, 1155 Defense Pentagon, Washington, DC 20301-1155
Note: Regular mail address shown above. For drop-off/next day delivery, use:
Room 2A534, 1155 Defense Pentagon, Washington, DC 20301-1155
1. DOCUMENT DESCRIPTION
a. TYPE
b. TITLE
c. PAGE COUNT
d. SUBJECT AREA
2. AUTHOR/SPEAKER
a. NAME
b. RANK
c. TITLE
d. OFFICE
e. AGENCY
3. PRESENTATION/PUBLICATION DATA
a. NAME
b. TELEPHONE NO.
a. NAME
b. OFFICE/AGENCY
c. TELEPHONE NO.
6. REMARKS
7. RECOMMENDATION OF SUBMITTING OFFICE/AGENCY
a. THE ATTACHED MATERIAL HAS DEPARTMENT/OFFICE/AGENCY APPROVAL FOR PUBLIC RELEASE
AND CLEARANCE FOR OPEN PUBLICATION IS RECOMMENDED UNDER PROVISIONS OF DODD 5230.09. I AM A
GOVERNMENT EMPLOYEE
, AND NOT A CONTRACTOR, AUTHORIZED TO MAKE THIS RECOMMENDATION FOR
RELEASE ON BEHALF OF:
b. CLEARANCE IS REQUESTED BY
c. NAME
d. TITLE
e. OFFICE
f. AGENCY
g. SIGNATURE
h. DATE SIGNED
DD FORM 1910, APR 2016
PREVIOUS EDITION IS OBSOLETE.
Adobe Professional XI
CLEARANCE REQUEST FOR PUBLIC RELEASE OF DEPARTMENT OF DEFENSE INFORMATION
TO:
Chief, Defense Office of Prepublication and Security Review, 1155 Defense Pentagon, Washington, DC 20301-1155
Note: Regular mail address shown above. For drop-off/next day delivery, use:
Room 2A534, 1155 Defense Pentagon, Washington, DC 20301-1155
1. DOCUMENT DESCRIPTION
a. TYPE
b. TITLE
c. PAGE COUNT
d. SUBJECT AREA
2. AUTHOR/SPEAKER
a. NAME
b. RANK
c. TITLE
d. OFFICE
e. AGENCY
3. PRESENTATION/PUBLICATION DATA
a. NAME
b. TELEPHONE NO.
a. NAME
b. OFFICE/AGENCY
c. TELEPHONE NO.
6. REMARKS
7. RECOMMENDATION OF SUBMITTING OFFICE/AGENCY
a. THE ATTACHED MATERIAL HAS DEPARTMENT/OFFICE/AGENCY APPROVAL FOR PUBLIC RELEASE
AND CLEARANCE FOR OPEN PUBLICATION IS RECOMMENDED UNDER PROVISIONS OF DODD 5230.09. I AM A
GOVERNMENT EMPLOYEE
, AND NOT A CONTRACTOR, AUTHORIZED TO MAKE THIS RECOMMENDATION FOR
RELEASE ON BEHALF OF:
b. CLEARANCE IS REQUESTED BY
c. NAME
d. TITLE
e. OFFICE
f. AGENCY
g. SIGNATURE
h. DATE SIGNED
DD FORM 1910, APR 2016
PREVIOUS EDITION IS OBSOLETE.
Adobe Professional XI
INSTRUCTIONS
GENERAL NOTE FOR PERSONNEL PROCESSING
5. PRIOR COORDINATION. Self explanatory.
THIS REPORT: Items marked with an asterisk (*)
have been registered in the DoD Data Element
Program.
6. REMARKS. Enter any additional pertinent
information.
1. DOCUMENT DESCRIPTION.
a. Type - Record nature of material
7. RECOMMENDATION OF SUBMITTING OFFICE/
submitted; e.g., speech, article, manuscript,
AGENCY. It is of paramount importance to components,
study/thesis, brochure, news release,
as large and complex as those which comprise the
advertisement, radio/television script, etc.
Department of Defense, that coordinated and consistent
b. Title - Record the exact caption, headline,
security and policy determinations are made; therefore,
name or label of the material.
Item 7 must be completed by an individual who is a
government employee (civilian or military), and
c. Page Count - Enter the number of pages of
possesses the authority to communicate a particular
the document submitted.
component's policies and recommendation.
Contractors may not sign this form.
d. Subject Area - Record major topic or
theme, whenever possible.
a. Enter title of Component/Agency Head or
title of other individual ultimately responsible for
the substantive issues addressed.
Examples: Secretary of the Army;
2. AUTHOR/SPEAKER.
Chairman of the Joint Chiefs of Staff; President,
National Defense University; etc.
3. PRESENTATION/PUBLICATION DATA.
4. POINT OF CONTACT
DD FORM 1910 (BACK), APR 2016
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