clearance form examples

 

From a lawyer’s perspective, a clearance is an official authorization for a person to proceed with what he will be doing. An example is a Tax Clearance wherein an individual may check his status to validate and confirm if he was able to pay his taxes on time.

Obtaining clearances may be required for employment, such as a security clearance. This is often mandated from any State to assure that the employee is not someone who causes trouble and commits a crime in the premises of the company. Normally, the individual who submits for a clearance will have his clearance form within 90 days prior to his submission.

Employee Clearance

Employee Exit Clearance

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  • PDF

Size: 227 KB

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Employee Clearance Resignation

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  • DOC

Size: 4 KB

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Separating Employee Clearance

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  • PDF

Size: 26 KB

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Faculty Staff Clearance

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  • PDF

Size: 275 KB

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Disciplinary Clearance

Academic Disciplinary Clearance

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  • PDF

Size: 172 KB

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Disciplinary Clearance Release

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  • PDF

Size: 368 KB

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What Is a Clearance Form?

A Clearance Form is a documented approval or an authorization to allow a person do or attain something. The most common clearance form is the Employee Clearance Form. This form is used for two different situations; either an employee is separating from the company, or he is going to extend a leave of absence.

A company requires this clearance to assure that the employee who left the company did not cause any damage or loss from the company’s properties. It may be in the form of a checklist document or a questionnaire.

How to Fill Out a Security Clearance Form

A Security Clearance Form has specific instructions on how to fill it out, such as writing your name on top of every page to assure that when the pages are separated, the officials will be able to track your form. There are also sections of the document where only the CSO or the Company Security Officer is allowed to fill up which is the Administrative Information.

While a Security Clearance Form will be for assuring that an individual does not have an illegal identity, a Medical Clearance Form, on the other hand, secures that a patient is healthy enough to join activities and events.

Medical Clearance

Medical Clearance Request

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Size: 255 KB

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Medical Clearance for Surgery

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  • PDF

Size: 85 KB

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Medical Clearance for Exercise

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  • PDF

Size: 29 KB

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Passenger Medical Clearance

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  • PDF

Size: 72 KB

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Security Clearance

Security Request Clearance

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Size: 469 KB

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Security Clearance Application

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Size: 66 KB

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Security Clearance Verification

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  • PDF

Size: 21 KB

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How Long Is a Top Secret Security Clearance Good For?

Security Clearance Forms are for employees who were granted access to confidential information are subjects for periodic re-investigation. This refers to checking the significance of having the employee’s authority for particular documents. It depends on the strength of confidentiality for the documents and accounts accessed by the employee.

A periodic re-investigation or PR for every fifteen years is mandated for a “confidential clearance”, while, a ten-year period is observed for “secret clearances”, and a five-year periodic re-investigation is for clearances deemed as “Top Secrets”.

However, some employees who work under government agencies, such as the Department of Defense, may have a random periodic re-investigation to assure that there are no anonymous and criminal acts hidden under the tables of the government.

What Are the Security Clearance Levels?

The levels for every type of security clearances are used to have specifications on what sorts of documents a personnel can have the authority for accessing in a limited amount of time or year. Listed below are the three main security clearance levels:

  • The TOP SECRET – this is the level applied for those documents and information which may cause grave harm and damage to the national security of a country if it is breached and used for illegal matters.
  • The SECRET – the information classified under this level is considered to be greatly harmful to the national security, however, may be controllable compared to the TOP SECRET level.
  • The CONFIDENTIAL – this level is for information which is reasonably harmful to the national security when breached by a personnel.

There are also government agencies, such as the Department of Energy, who issued additional levels and terms for specifying clearance levels. This agency used the terms Q-Clearance and L-Clearances for their categories of restriction. These categories are also subject for a periodic reinvestigation which is part of the process for a security clearance requirement.

Student Clearance

Graduate Student

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Size: 48 KB

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Summer Student

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Size: 192 KB

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Transfer Student

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  • PDF

Size: 18 KB

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Clearance in DOC

Facility Security Clearance Check

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  • PDF

Size: 49 KB

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Health Clearance

Health Safety Clearance

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  • PDF

Size: 94 KB

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Equipment Safety Clearance

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  • PDF

Size: 80 KB

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Prerequisite Clearance

Prerequisite Clearance Request

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  • PDF

Size: 47 KB

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Veterans Clearance

Veteran Student Clearance

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  • PDF

Size: 102 KB

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Visa Clearance

international student visa

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  • PDF

Size: 33 KB

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India visa clearance

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  • PDF

Size: 82 KB

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What to Include in a Security Clearance Form?

When applying for a Security Clearance, an individual must be able to complete a Personnel Security Screening Form together with an Authorization Form (TBS/SCT 330-23E). However, for those who will apply for a Top Secret Clearance, it is mandated for the applicant to submit three current passport photos with signatures of the applicant and the security officer at the back of each image. A DCN or a Document Control Number and a copy of the applicant’s electronic fingerprint receipts should be submitted prior to clearance application.

There is also a different clearance form which is required for assuring an individual’s capability which is the Medical Clearance Form. As you view our Sample Medical Clearance Forms, you can see that this document is often used by airlines to make sure that their passengers are capable of coping with possible turbulence and varying atmospheric pressures.

What Is a Security Clearance for a Job?

A Security Clearance is also required for employees who are responsible for handling data and information of the company. This includes jobs of engineers, technology, and intelligence professionals. Most companies who look for agents and intelligence workers require their applicants to submit a Top Secret Security Clearance as one of the qualifications for the position.

Immigration Clearance

Remote Immigration Clearance

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  • PDF

Size: 14 KB

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Immigration Transfer-In

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  • PDF

Size: 147 KB

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Player Clearance Form

Domestic Player Clearance

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  • PDF

Size: 33 KB

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Junior Player Clearance

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  • PDF

Size: 118 KB

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Boys in Player Clearance

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  • PDF

Size: 43 KB

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Visiting Clearance Form

Visit Authorization Security

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  • PDF

Size: 12 KB

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Undergraduate Transient Clearance

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  • PDF

Size: 37 KB

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Tax Clearance

Tax Clearance Application

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  • PDF

Size: 39 KB

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Request  For Tax

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  • PDF

Size: 292 KB

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Property Tax Clearance

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  • PDF

Size: 165 KB

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How Long Does a Clearance Remain In Effect?

Clearances do not have expiry dates unless an employee moved to another company for another job. The needed requirement for keeping a clearance up to date is to continuously attend a periodic reinvestigation for the allotted period in every level of clearance. In the event that the employee retired from his service at work, he may reinstate his clearance for the first two years from his retiree date as long as it still covers the period of the reinvestigation.

In terms of clearance certificates, such as a Tax Clearance Certificate, a regular re-assessment is mandated by the government through an online software for the certificate holders.

What Is an Interim Security Clearance?

An Interim Security Clearance is a requirement for secret clearance job positions. The process will only consist of a few investigative requirements which are conducted by a personnel security officer. The officer may provide the applicant with several clearance questionnaires to assess whether he is qualified to continue with the clearance process. This type of clearance is not for permanent or for long-term uses but only for allowing an employee to temporarily access critical information in a company.

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