Attachment 5-DD2760.pdf
DoD Form PDF 759 KB Posted
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- EOS Fieldcraft Support Services
- Solicitation number
- JBMDL_FIELDCRAFT_SOURCES_SOUGHT_20191125
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Text version
QUALIFICATION TO POSSESS FIREARMS OR AMMUNITION
PRIVACY ACT STATEMENT
AUTHORITY:
PRINCIPAL PURPOSE(S):
ROUTINE USE(S):
DISCLOSURE:
a. NAME (Last, First, Middle Initial) c. SOCIAL SECURITY NUMBER
d. ORGANIZATION e. SIGNATURE f. DATE SIGNED
(YYYYMMDD)
3. CERTIFICATION.
a. COURT/JURISDICTION b. DOCKET/CASE NUMBER
c. STATUTE/CHARGE d. DATE SENTENCED (YYYYMMDD)
2. IF YOU ANSWERED "YES" TO THE FIRST QUESTION, PROVIDE THE FOLLOWING INFORMATION WITH RESPECT TO THE CONVICTION:
YES
SECTION II - QUALIFICATION INQUIRY (Complete and return to your commander or immediate supervisor within 10 days of receipt)
NO
1. HAVE YOU EVER BEEN CONVICTED OF A CRIME OF DOMESTIC VIOLENCE AS DESCRIBED ABOVE: (Initial and date)
SECTION I - INSTRUCTIONS
DD FORM 2760, DEC 2002
b. RANK/GRADE
I DON'T KNOW (Provide explanation on reverse)
Adobe Professional X
Attachment 5
File details come from the government source that posted it. Updated .