Clearance View Request

The Security Clearance Information on my website is for my convenience and personal use.  Generally, if you are an F.S.O. for a company, you don’t need this as you will have faster access to this information if you have prior information about me. For all intents and purposes, anyone else who will be using this form will be treated as questionable.

Fields with Asterisk (*) are required.

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First Name *

Last Name *

Org *

Which company or organization do you belong to? (This will help me deduce the reason for your viewing of my Security Clearance.

Role *

Helps me determine your "Need-to-Know"

Emp No.

Providing this will really speed up the process, too.

Organization Website *

Phone *

Please DO NOT provide your Phone number. Provide YOUR COMPANY'S phone number.

Your Email *

The email I will send the passcode for the Security Clearance Page on my site.

GDPR Agreement *

• I agree to the Privacy Policy. *

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Request