Security Termination Statement
Form NRC Form 136; DOE F 5631.29; DA Form 2962. This is a document you normally see or sign.
What it is
The statement signed when access ends, acknowledging that the duty to protect what you learned continues. The form number is agency-specific rather than government-wide. Note that DD Form 2962 is a different document entirely — a system access request — despite the similar number.
What you do
Sign it at the exit briefing. The obligation it records does not expire with the job.
Also called
security termination statement, debriefing statement, exit briefing, debrief.
Where this comes from
NRC Form 136 information collection — NRC Form 136 is titled "Security Termination Statement"; DOE F 5631.29 and DA Form 2962 carry the same title. Industry equivalent is the NISPOM debriefing at 32 CFR 117.12(l).
Stage: Access agreements and briefings · Applies to: Government-wide
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Checked against the issuing agency’s own published source. Descriptive research on published procedures. Not legal advice, and not a prediction about any pending case.