PRIVACY ACT STATEMENT / PII WARNING: This document is UNCLASSIFIED when blank. Once completed with individual personal data (including Name, Sex, Age, Air Force Email, and Unit Assignment), this document contains Personally Identifiable Information (PII) and must be safeguarded as Controlled Unclassified Information (CUI).

PROHIBITION ON UNAPPROVED DEVICES: Per Department of Defense Instruction (DoDI) 5200.48 and DoDI 5400.11, filling out, downloading, storing, or transmitting this document on a non-DoD approved device, personal device, or unauthenticated commercial system is strictly prohibited and constitutes a CUI/PII data breach. DoD policy mandates that "DoD personnel will not use non-DoD accounts or personal e-mail accounts, messaging systems or other non-public DoD information systems... to conduct official business involving CUI."

MANDATORY SAFEGUARDS: In accordance with Air Force Instruction (AFI) 33-332, this information must be protected. Unauthorized disclosure, misuse, or processing of this PERSONAL INFORMATION on unauthorized systems may result in disciplinary action, criminal, and/or civil penalties.