Get Personal History Questionnaire

Filling out the Personal History Questionnaire (PHQ) is an essential step for individuals seeking unescorted access authorization at a nuclear power plant. This guide provides clear, step-by-step instructions to help users complete the form accurately and thoroughly.

Follow the steps to complete the questionnaire effectively.

1. Press the ‘Get Form’ button to obtain the Personal History Questionnaire and open it in the editor.
2. Begin by entering your full name, including last name, first name, and middle name. Ensure this matches your official identification.
3. Provide your U.S. Social Security Number. If you do not have an SSN, enter your PADS-ID if known.
4. Answer if you have ever held unescorted access at VC Summer Station. If 'Yes,' provide the date.
5. Answer whether you have applied for or been granted unescorted access at any nuclear power plant. Provide the last access termination date and status if applicable.
6. Fill out the section concerning your personal data, including address, contact numbers, date of birth, and physical characteristics such as height and weight.
7. List all residences of greater than 30 days where you have lived in the past seven years, along with respective dates.
8. In the criminal history self-disclosure section, disclose any legal actions taken against you. Be thorough and accurate in your explanations.
9. Complete the employment and unemployment history section, listing all jobs held in the past three years or since your 18th birthday.
10. Finish by reviewing your application for any omissions or errors. Ensure all pages are numbered sequentially and save your responses.

Complete your Personal History Questionnaire online to ensure you are considered for unescorted access authorization.