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NAME OF PLANT OR FACILITY NUMBER AND STREET ADDRESS CITY AND STATE CONTRACTOR Typed Name THE UNITED STATES OF AMERICA BY Signature of Government Representative AUTHORIZED REPRESENTATIVE OF THE GOVERNMENT Typed Name of Government Agency TITLE of Authorized Contractor Representative ADDRESS DD FORM 441-1 OCT 2004 PREVIOUS EDITION IS OBSOLETE. Reset. U.S. DOD Form dod-dd-441-1 APPENDAGE TO DEPARTMENT OF DEFENSE SECURITY AGREEMENT Form Approved OMB N.

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How to fill out the Dd Form 441 1 online

Filling out the Dd Form 441 1, an important document for the Department of Defense security agreement, can be straightforward with the right guidance. This guide provides users with clear, step-by-step instructions to efficiently complete the form online.

Follow the steps to successfully complete the form online.

  1. Click the ‘Get Form’ button to access the Dd Form 441 1 and open it in your editing interface.
  2. Begin with the date section. Enter the current date when you are completing the form.
  3. Provide the name of the plant or facility. Ensure accuracy to reflect the exact name as it pertains to the contractor.
  4. Fill in the number and street address of the facility. Validate that the information is correct to avoid potential issues.
  5. Complete the city and state fields by entering the relevant details for the facility's location.
  6. Type the name of the contractor in the designated field, ensuring clarity and accuracy.
  7. In the signature fields, the government representative and the authorized contractor representative must sign the form. Digital signatures are acceptable if allowed.
  8. Include the typed name of the government agency represented by the government official.
  9. Indicate the title of the authorized contractor representative to confirm their position.
  10. Complete the address section of the authorized contractor representative, ensuring all information is correct.
  11. Once all fields are filled, review the entire form for accuracy and completeness.
  12. After verification, you can save the changes, download the completed form, print it, or share it as needed.

Complete your Dd Form 441 1 online today and ensure your submission is accurate and timely.

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The execution of the DD Forms 441 and 441-1 are factors in making a determination as to whether a contractor is eligible to have a facility security clearance. They are also a legal basis for imposing National Security Program (NISP) security requirements on eligible contractors.

The execution of the DD Forms 441 and 441-1 are factors in making a determination as to whether a contractor is eligible to have a facility security clearance. They are also a legal basis for imposing National Security Program (NISP) security requirements on eligible contractors.

Final DD 254 - A Contract Security Classification Specification that is issued by a Government Contracting Activity or a Prime Contractor to provide classification guidance and security requirements to contractors who wish to retain classified information beyond the terms of the contract as authorized by the NISPOM.

1. What is a facility security clearance (FCL)? An FCL is a determination made by the Government that a contractor is eligible for access to classified information. A contractor must have an FCL commensurate with the highest level of classified access (Secret or Top Secret) required for contract performance.

(C) The Government agrees, on written application, to grant personnel security clearances to eligible employees of the Contractor who require access to information classified TOP SECRET, SECRET, or CONFIDENTAL.

DD Form 441-1 - This is an attachment to the DD Form 441 that lists cleared divisions or branch offices that are included and covered by the provisions of the organization's Security Agreement and Certificate Pertaining to Foreign Interest.

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