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INDIVIDUAL RELIABILITY SCREENING AND EVALUATION RECORD For use of this form, see AR 190-56; the proponent agency is PMG. PART I - PERSONNEL RECORDS SCREENING NAME OF INDIVIDUAL BEING SCREENED/EVALUATED.

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How to fill out the Da Form 5557 online

The Da Form 5557 is a crucial document used for individual reliability screening and evaluation. This guide provides a clear, step-by-step approach to help users fill out the form online efficiently and accurately.

Follow the steps to complete the Da Form 5557 online.

  1. Press the ‘Get Form’ button to access the form and open it in the online editor.
  2. In Part I, enter the name of the individual being screened or evaluated, along with their grade. Review the personnel records based on AR 190-56 and note if any attachment exists that might prevent assignment. Indicate the individual’s security clearance level and fill out the name and grade of the official conducting the screening. Provide a signature and date.
  3. Proceed to Part II and input the name and grade of the physician. Indicate if the medical records have been reviewed according to AR 190-56 and specify if there are any attachments that could preclude assignment. Ensure to sign and date the section.
  4. In Part III, complete the section for the certifying official's evaluation. Confirm whether the individual has been interviewed and assess their suitability for assignment. If applicable, note the temporary suspension date. Provide the name, grade, and organization of the certifying official, along with their signature and date.
  5. If the individual is found suitable, proceed to Part IV. Acknowledge the briefing on reliability standards by entering the date, organization, and collecting the signatures of both the individual and the certifying official.
  6. For Part V, if disqualification occurs, detail the individual's status at the time and specify the reasons for disqualification. Note that further explanations can be continued on the reverse side or through an attachment.
  7. Complete Part VI to identify the records. This section affirms the individual's reliability and fitness for their current duty. All adverse information must be reported to the certifying official or concerned commander.
  8. After filling out all sections, save your changes. You may choose to download, print, or share the form as needed.

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