CONTRACTOR CLEARANCE ACCESS LIST

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP88B00553R000100180040-6
• Release Decision: RIFPUB
• Original Classification: K
• Document Page Count: 1
• Document Creation Date: November 11, 2016
• Document Release Date: August 26, 1998
• Sequence Number: 40
• Content Type: FORM

ATTACHMENT
Approved CL&,pRP$?0553R000100180040-6
(This list and subsequent reaccomplished versions are
all to be made a part of the permanent contract files.)
CONTRACTOR NAME:
CONTRACT TITLE:
CONTRACT NUMBER:
CONTRACT DATES: Start
Contractor Personnel
with Need-to-Know
COTR (Name)
Complete
Sponsor-Approved Clearance Codeword
Level - Specify* Access(es)
(SECRET or TOP SECRET) Specify*
(Initials) (Date)
(To be completed by Sponsor only.)
*Identify additional special channel accesses as well as specific codeword program designators.
NOTE: When an access is withdrawn, line-out the appropriate access, place initials and date
beside line-out. If all accesses are withdrawn or if the individual no longer requires
access, line-out the entire line for the individual(s) affected, date, and initial
the line. Reaccomplish forms as necessary but do not destroy previous versions.
Approved For Release 1999/09/27 : CIA-RDP88B00553R000100180040-6