Security assessments 6-month report template: Controlled Goods Program

Use this template to provide details regarding individuals who were security assessed during the previous 6 months by the designated official.

Instructions and requirements

This report includes details regarding individuals who were security assessed by the designated official during the previous 6 months.

Security assessments 6-month report

Complete the security assessments 6-month report template

Security assessments 6-month report template (XLSX, 16KB)

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Once you have entered data in the template below, please note that:

  • you will not be able to submit the report online
  • all data will be cleared when refreshing and/or leaving this page

To avoid losing your data, you can print the page once completed. The report can be sent by fax, mail and courier or email.

Where to submit the report

Security assessments 6-month report
No. Surname Given name Date of birth
(YYYY-MM-DD)		 Date security
assessment
completed
(YYYY-MM-DD)		 Risk level
(Low, Moderate
or High)		 Access
granted
(Yes or no)		 Add(+)/
remove(-)
row
Ex. Doe John 1979-08-31 2016-08-31 Low Yes  
1

Submitted by

Protection of information

The information provided on this report is collected under the authority of the Defence Production Act and the Controlled Goods Regulations. Any personal information provided is protected under the Privacy Act and will be used and disclosed in accordance with the act.

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