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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 which may preclude IV - PROVOST MARSHAL/ Security OFFICE RECORDS CHECKA law enforcement/ Security records check has been conducted in accordance with AR not attached which may preclude V - LOCAL CIVILIAN LAW ENFORCEMENT AGENCY RECORDS

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 PMG. DA FORM 7281, SEP 2009. PREVIOUS EDITIONS ARE …

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