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Download DA Form 969, also known as Top Secret Document Record. This document is designed for intra- office, use only. This form is to be used to provide attached top secret information and names, as well as information regarding all individuals who have or shall receive it.

Step 1 – Begin by placing  today’s date in the top right corner of the form (yyyy/mm/dd format) – Continue by completing the following blocks of required information:

  • To
  • From
  • Date Received
  • Action Office
  • Suspense Date(s)
  • Register Or Control Number

Step 2 – Complete the rows of information:

  • Control Log Or File Number
  • Classification
  • Number of Copies
  • Description ( type, file, ref., unclassified subject  or short title and number of indorsements/incls. )
  • Date Of Document
  • Originator

Step 3 – Distribution Data – Complete the following rows of required information beginning with today’s date next to the title at the top right of the block:

  • Date (yyyy/mm/dd format)
  • Copy Number
  • Addressee (Print or Type)

Step 4 – Intra-Office Routing Data – complete the following blocks of required information:

  • For – (choose “Action”, “Information” or provide a suspense date yyyy/mm/dd format)
  • Complete the boxes:
  • Check
  • To

Step 5 – Names Of All Persons Handling Attached Document Or Who Have Who Have Been Informed Of It’s Content Will Be Listed

  • Complete the information accurately listing ALL names and dates:
  • Name (Print or Type)
  • Date (yyyy/mm/dd format)
  • Continued space on page two for additional names and dates.

Step 6 – Regrading Information – Basic Document To Be Reviewed For Downgrading As Reviewed – Complete the following blocks:

  • Date For Review
  • Classification
  • Date of Class

Step 7 – Reserved For Use By Top Secret Control Officer

  • Top Secret Control Officer Only, would enter comments and information in this block

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