Use FormsPal's free online PDF editor to complete this SCI Debriefing Memorandum in minutes. Follow the steps below to fill it out correctly and avoid common errors.
Step 1: Click the "Get Form" button at the top of this page. The PDF will open in the online editor immediately, with no software download or account required.
Step 2: Locate the individual's information block. Enter the full name (last name first), Social Security Number, rank or grade, and billet number in the designated fields.
Step 3: Enter the date of debriefing using the YY/MM/DD format shown on the form. This date must match the date the debriefing was actually conducted. Entering an incorrect date invalidates the record.
Step 4: The authorized briefer must sign the form, print their name clearly, and provide their organization in the designated fields. Only an authorized government or military official may certify the debriefing.
Step 5: Review all entries carefully before finalizing. The Privacy Act notice on the form explains the legal basis for collecting the Social Security Number under 5 U.S.C. 552a and Executive Order 9397. Once complete, download and print the form for distribution and file retention.
Common Mistakes to Avoid
Using the wrong date format (MM/DD/YYYY instead of YY/MM/DD) is one of the most frequent errors on this debriefing form. Make sure the date corresponds exactly to official debriefing records. An unauthorized signature also invalidates the document. Only a properly designated briefer may sign it. Leaving the billet number field blank is another common oversight that can cause the record to be rejected during a security review.
Frequently Asked Questions
Who is required to complete this debriefing form?
Any individual leaving an SCI program or Special Access Program must be formally debriefed, and this memorandum documents that process. This requirement applies to active duty military personnel, federal civilian employees, and cleared contractors across all branches of service and agencies.
What happens if the debriefing is not properly documented?
Failure to complete the debriefing memorandum creates a gap in the official security record. It may delay or complicate future clearance processing and can indicate the debriefing was not properly conducted, which constitutes a security compliance issue that may require corrective action.
How long must the completed memorandum be retained?
The completed document is retained as part of the individual's permanent security file. Retention periods follow the applicable records schedule for the issuing agency or command, which is typically consistent with the individual's overall security record.
Is this memorandum the same as an SF-312?
No. The SF-312 is the Classified Information Nondisclosure Agreement signed at the time SCI access is initially granted. This debriefing memorandum documents the conclusion of that access period. Both documents are required components of the SCI security management process and must be retained in the security file.
Can the debriefing be conducted remotely?
The authorized briefer must personally conduct the debriefing and sign the memorandum. Remote or telephonic debriefings may be authorized in certain operational circumstances, but the paperwork requirements remain the same. The briefer's original signature is required on the completed form.
What is the Privacy Act notice on this form?
The Privacy Act notice explains that the Social Security Number is requested under the authority of 5 U.S.C. 552a and Executive Order 9397. Providing the SSN is voluntary, but failure to do so may delay processing of the debriefing record. The information is used solely for identification and security record purposes within the Department of Defense.