L-9_Personnel_Security_Clearance_Template.docx

This is a Personnel Security Clearance Information template document designated for FOUO (For Official Use Only) once completed. The template is associated with the FS3i (Foundation Sustainment Support, Software and Integration) contract requirement issued by the National Geospatial-Intelligence Agency (NGA) under Solicitation No. HM047625R0016. The document serves as a standardized format for contractor companies to provide security clearance information for their personnel who will work on the contract.

The template captures essential personnel security data including full names, current employer, date of birth, place of birth, Social Security Numbers, type of investigation (such as SSBI-PR or SSBI), investigation dates, SCI eligibility dates, clearance status, and government sponsor information. The document includes two example entries demonstrating the required information structure. As a template containing personally identifiable information (PII), the document is marked as UNCLASSIFIED/FOUO and carries strict handling requirements under federal law (P.L. 93-579), with warnings that unauthorized dissemination or use of PII may result in fines, disciplinary actions, or both.