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) Security Screening and Evaluation Record

COMMAND ORIENTED ARMS, AMMUNITION, AND EXPLOSIVES (AA&E) Security Screening AND Evaluation Record For use of this form, see AR 190-11; the proponent agency is FORM 7281, SEP 2009 PREVIOUS EDITIONS ARE LC completed, this form is considered personal in nature and should be protected by a For Official Use Only Cover OF INDIVIDUAL BEING SCREENEDGRADESECTION I - immediate COMMANDER'S INTERVIEWThe interview required by AR 190-11 has been OF COMMANDERGRADESIGNATUREDATESECTION II - PERSONNEL RECORDS SCREENINGP ersonnel records have been reviewed in accordance with the AR OF REVIEWING OFFICIALGRADESIGNATUREDATE isis not attached which may preclude III - MEDICAL RECORDS SCREENINGM edical records have been reviewed in accordance with the AR OF REVIEWING OFFICIALGRADESIGNATUREDATE isis not attached

SECTION VI - IMMEDIATE COMMANDER EVALUATION. Individual has been screened in accordance with AR 190-11. After thorough review of all information provided, I find this individual involve responsibility for the control, accountability, and shipment of AA&E. NAME OF REVIEWING OFFICIAL suitable. unsuitable to perform duties which GRADE. SIGNATURE DATE

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