Form Af Imt 1565 – Fill Out and Use This PDF

Updated: Nov 2, 2026

The AF IMT 1565 form is pivotal in documenting the entry, receipt, and destruction of materials within certain operational contexts. It ensures transparency and accountability for the management of sensitive documents, facilitating the tracking of amendments, removals, and entries of document pages. To navigate through the completion of this crucial documentation, click the button below to get started.

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Form Af Imt 1565 PDF Details

In government and military operations, meticulous documentation and adherence to procedures are fundamental. The AF IMT 1565 form is a prime example of this, serving as a crucial document in the lifecycle management of controlled materials, including but not limited to classified documents. This form, used by the United States Air Force, encompasses several key processes: entry, receipt, and the destruction of documents. It begins with local control and a register, outlining the necessity for a meticulous catalog of documents in possession. The form is precisely structured to ensure the accountability of sensitive documents from their receipt to their eventual destruction, highlighting the importance of tracking amendments, replacements, and disposals. Acknowledgment sections for the receipt of documents and the certification of their removal and destruction underscore the rigorous checks and balances in place to prevent unauthorized access and ensure the integrity of document handling. Furthermore, it includes a section for noting discrepancies, underscoring an ongoing commitment to accuracy and accountability. By facilitating a structured approach to document management, the AF IMT 1565 form plays a pivotal role in safeguarding information, ensuring compliance with regulations, and maintaining operational security within the Air Force and associated entities.

Question	Answer
Form Name	Form Af Imt 1565
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	JBSA, CDs, TX, af 310 form

How to Fill Out Form AF IMT 1565

Form AF IMT 1565 at a glance

What it is: AF IMT 1565 is the Entry, Receipt and Destruction Certificate: Removal and Entry Data, Certificate of Receipt, Certificate of Removal and Entry and Certificate of Destruction.

Who signs: Box 14, Signature and Grade, is signed in the Certificate of Receipt and box 19, Signature and Grade, in the Certificate of Removal and Entry; in the Certificate of Destruction a Destroying official signs box 24 and a Witnessing official signs box 27, each with a Printed Name and Grade.

A filled-in Form AF IMT 1565 example: a clerk records a replaced page

Form AF IMT 1565 example filled out, example: a clerk records a replaced page — A records clerk fills out AF IMT 1565 for a replaced manual page. Item 8 lists pages 3 and 4, and item 9 lists pages 3A and 4A, entered in copy 7. The picture shows the filled form and every value in it is made up. Boxes 10 and 11 are marked because the document and the removed pages were received. None is marked for DISCREPANCIES, so As listed on reverse stays empty. Destroyed is marked in box 21, so committed to the special destruction act stays empty. Box 4 is left blank because the originator does not require the certificate. No tests are listed, so the Continuation Sheet stays empty.

How to fill out Form AF IMT 1565, box by box

Removal and Entry Data: boxes 1 to 9

Enter the Local Control/Register Page No. in box 1 and the Page of Pages in box 2.

Box 3, TO, is DLIELC/LEAT 2235 ANDREWS AVE JBSA LACKLAND, TX 78236-5259.

Box 4, FROM, is to be filled in when certificate is required by originator.

Enter the Basic Document (Title, date, and control number) in box 5 and the Amendment (Change no., date, copy no., and control/register page no.) in box 6.

Enter the Description of Section(s) Amended (Part, Chapter, annex attachment, appendix, etc.) in box 7, the Remove Page(s) in box 8 and the Enter Page(s) in box 9.

Certificate of Receipt: boxes 10 to 15

In Certificate of Receipt, mark box 10 for I acknowledge receipt of document described in item 6 and box 11 for I acknowledge receipt of removed pages.

Enter the Date in box 12, the Organization and Office in box 13 and the Highest Classification of Pages in box 15, and sign in box 14, Signature and Grade.

Certificate of Removal and Entry: boxes 16 to 20

In Certificate of Removal and Entry, box 16 certifies that all applicable pages listed in item 8 have been removed and all applicable pages listed in item 9 have been entered in copy # of basic document; for DISCREPANCIES, mark None or As listed on reverse.

Enter the Date in box 17 and the Organization and Office in box 18, sign in box 19, Signature and Grade, and enter the Highest Classification of Pages Removed in box 20.

Certificate of Destruction: boxes 21 to 27

In Certificate of Destruction, box 21 certifies that all removed pages have been destroyed or committed to the special destruction act according to AFR 205-1.

Enter the Date Destroyed in box 22 and the Printed Name and Grade of the Destroying official in box 23, and sign in box 24, Signature.

Enter the Certificate No. in box 25 and the Printed Name and Grade of the Witnessing official in box 26, and sign in box 27, Signature.

Continuation Sheet

If a TEST FORM ID applies, enter the Site Number on the Continuation Sheet, then the TEST FORM ID, BOOKLET NUMBERS, CDs/CASSETTES and ANSWER KEYS.

Sources

[1] Form AF IMT 1565 (19720221, V2), Entry, Receipt and Destruction Certificate, U.S. Air Force (the Official source link on this page).