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Individual has been screened in accordance with AR 190-11. After thorough review of all information provided I find this individual suitable unsuitable to perform duties which involve responsibility for the control accountability and shipment of AA E. DA FORM 7281 SEP 2009 PREVIOUS EDITIONS ARE OBSOLETE. APD PE v1.00ES. 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* When completed this form is considered personal in nature and should be protected by a For Official Use Only Cover Sheet. NAME OF INDIVIDUAL BEING SCREENED GRADE SECTION I - IMMEDIATE COMMANDER S INTERVIEW The interview required by AR 190-11 has been conducted* NAME OF COMMANDER DATE SIGNATURE SECTION II - PERSONNEL RECORDS SCREENING Personnel records have been reviewed in accordance with the AR 190-11. Information is is not attached which may preclude assignment. NAME OF REVIEWING OFFICIAL Medical records have been reviewed in accordance with the AR 190-11. SECTION IV - PROVOST MARSHAL/SECURITY OFFICE RECORDS CHECK A law enforcement/security records check has been conducted in accordance with AR 190-11. SECTION V - LOCAL CIVILIAN LAW ENFORCEMENT AGENCY RECORDS CHECK If permitted by state city or local laws Local civilian law enforcement agencies in the area of the individual s residence have been checked in accordance with AR 190-11. 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* When completed this form is considered personal in nature and should be protected by a For Official Use Only Cover Sheet. NAME OF INDIVIDUAL BEING SCREENED GRADE SECTION I - IMMEDIATE COMMANDER S INTERVIEW The interview required by AR 190-11 has been conducted* NAME OF COMMANDER DATE SIGNATURE SECTION II - PERSONNEL RECORDS SCREENING Personnel records have been reviewed in accordance with the AR 190-11. NAME OF INDIVIDUAL BEING SCREENED GRADE SECTION I - IMMEDIATE COMMANDER S INTERVIEW The interview required by AR 190-11 has been conducted* NAME OF COMMANDER DATE SIGNATURE SECTION II - PERSONNEL RECORDS SCREENING Personnel records have been reviewed in accordance with the AR 190-11. Information is is not attached which may preclude assignment. NAME OF REVIEWING OFFICIAL Medical records have been reviewed in accordance with the AR 190-11. Information is is not attached which may preclude assignment. NAME OF REVIEWING OFFICIAL Medical records have been reviewed in accordance with the AR 190-11. SECTION IV - PROVOST MARSHAL/SECURITY OFFICE RECORDS CHECK A law enforcement/security records check has been conducted in accordance with AR 190-11. SECTION IV - PROVOST MARSHAL/SECURITY OFFICE RECORDS CHECK A law enforcement/security records check has been conducted in accordance with AR 190-11. SECTION V - LOCAL CIVILIAN LAW ENFORCEMENT AGENCY RECORDS CHECK If permitted by state city or local laws Local civilian law enforcement agencies in the area of the individual s residence have been checked in accordance with AR 190-11.

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