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The AF IMT 1565 form serves as a critical tool in the management of classified documents within military and governmental organizations. It facilitates the systematic entry, receipt, modification, and destruction of important documents, ensuring accountability and adherence to established protocols. This form consists of several sections, each designed to track specific actions related to classified material. In its initial phase, users fill out the removal and entry data, specifying the documents affected and providing relevant details such as title, date, and control numbers. The certificate of receipt follows, allowing for the acknowledgment of both the received documents and any pages that have been removed. With the completion of the certificate of removal and entry, personnel confirm that all specified pages have been properly accounted for. Finally, the form culminates with a certificate of destruction, verifying that all removed documents were safely destroyed in accordance with applicable regulations. By following these steps, organizations maintain a high level of security and transparency regarding their classified material handling procedures.

Af Imt 1565 Example

 

 

 

ENTRY, RECEIPT AND DESTRUCTION

 

 

 

1. LOCAL CONTROL/REGISTER

 

2

 

 

 

 

 

 

 

 

PAGE NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CERTIFICATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PAGE

OF

PAGES

I.

 

 

 

 

 

 

 

 

 

 

REMOVAL AND ENTRY DATA

 

 

 

 

 

 

 

 

3. TO:

 

 

 

 

 

 

 

 

 

 

4. FROM (To be filled in when certificate is required by originator)

 

 

DLIELC/LEAT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2235 ANDREWS AVE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

JBSA LACKLAND, TX 78236-5259

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5. BASIC DOCUMENT (Title, date, and control number)

 

 

 

 

6. AMENDMENT (Change no., date, copy no., and control/register page no.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7. DESCRIPTION OF SECTION(S) AMENDED. (Part, Chapter, annex

 

 

 

8. REMOVE PAGE(S)

 

 

 

9. ENTER PAGE(S)

 

attachment, appendix, etc.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

II.

 

 

 

 

 

 

 

 

 

 

CERTIFICATE OF RECEIPT

 

 

 

 

 

 

 

 

10.

 

 

I acknowledge receipt of document described in item 6.

 

 

 

 

 

11.

 

I acknowledge receipt of removed pages.

 

12. DATE

 

13. ORGANIZATION AND OFFICE

 

14. SIGNATURE AND GRADE

 

 

 

15. HIGHEST CLASSIFICATION OF

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PAGES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

III.

 

 

 

 

 

 

 

 

 

 

CERTIFICATE OF REMOVAL AND ENTRY

 

 

 

 

 

 

16.

 

 

I certify that all applicable pages listed in item 8 have been removed. All applicable pages listed in item 9 have been

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

entered in copy #

 

 

of basic document. DISCREPANCIES:

 

None.

 

 

As listed on reverse.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17. DATE

 

18. ORGANIZATION AND OFFICE

 

19. SIGNATURE AND GRADE

 

 

 

20. HIGHEST CLASSIFICATION OF

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PAGES REMOVED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IV.

 

 

 

 

 

 

 

 

 

 

CERTIFICATE OF DESTRUCTION

 

 

 

 

 

 

21.

I certify that all removed pages have been

 

 

destroyed

 

 

 

committed to the special destruction act according to AFR 205-1

 

22. DATE DESTROYED

 

 

23. PRINTED NAME AND GRADE (Destroying official)

24. SIGNATURE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

25. CERTIFICATE NO.

 

 

26. PRINTED NAME AND GRADE (Witnessing official)

27. SIGNATURE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AF IMT 1565, 19720221, V2

 

PREVIOUS EDITION WILL BE USED.

DLIELC/LEAT (OVERPRINT)

AF IMT 1565, 19720221, CONTINUATION SHEET

Site Number:

 

TEST FORM ID

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CDs/CASSETTES

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AF IMT 1565, 19720221, V2

Form Characteristics

Fact Name Detail
Form Title AF IMT 1565 – A form used for managing entry, receipt, and destruction of sensitive documents.
Governing Rule This form is governed by the Air Force Regulation AFR 205-1, which outlines procedures for document handling and destruction.
Sections Present The form includes multiple sections such as Removal and Entry Data, Certificate of Receipt, Certificate of Removal and Entry, and Certificate of Destruction.
Document Purpose It serves to ensure a structured approach in acknowledging, removing, and destroying classified or sensitive documents.
Signature Requirement Signatures from authorized personnel are required at different stages, reinforcing accountability throughout the process.
Destruction Certification A certification stating that all removed pages have been destroyed in accordance with prescribed destruction methods is mandatory.
Tracking Information The document includes fields for additional tracking information like control numbers, which helps maintain organization.
Receipt Acknowledgment Individuals receiving documents must acknowledge receipt, ensuring traceability and proper records management.
Preparation Date The form has a specified preparation date of 19720221, indicating its version history.
Previous Editions The form references that previous editions may still be in use, highlighting its continual relevance and adaptability to procedures.

Guidelines on Utilizing Af Imt 1565

Completing the AF IMT 1565 form requires attention to detail and accuracy. Each section must be filled out completely to ensure proper processing. Follow the steps below to correctly fill out the form.

  1. Section I: Removal and Entry Data
    • In item 3, enter the destination organization: DLIELC/LEAT 2235 ANDREWS AVE JBSA LACKLAND, TX 78236-5259.
    • In item 5, provide the basic document details, including title, date, and control number.
    • If applicable, complete item 6 with the amendment details, listing the change number, date, copy number, and control/register page number.
    • Describe any sections amended in item 7, such as part, chapter or appendix.
    • Enter the page numbers of any pages being removed in item 8.
    • In item 9, list the page numbers of any pages being entered.
  2. Section II: Certificate of Receipt
    • In item 10, acknowledge receipt of the document described in item 6.
    • In item 11, acknowledge receipt of any removed pages.
    • Insert the date in item 12.
    • Fill in your organization and office in item 13.
    • Sign and indicate your grade in item 14.
    • State the highest classification of pages in item 15.
  3. Section III: Certificate of Removal and Entry
    • In item 16, certify that all applicable pages listed in item 8 have been removed and those listed in item 9 have been entered.
    • If there are any discrepancies, list them on the reverse side.
    • Insert the date in item 17.
    • Fill in your organization and office in item 18.
    • Sign and state your grade in item 19.
    • State the highest classification of removed pages in item 20.
  4. Section IV: Certificate of Destruction
    • In item 21, certify that all removed pages have been destroyed following the destruction act according to AFR 205-1.
    • Insert the date of destruction in item 22.
    • Print your name and grade in item 23 (destroying official).
    • Sign in item 24.
    • Fill in the certificate number in item 25.
    • Print the name and grade of the witnessing official in item 26.
    • Have the witnessing official sign in item 27.

What You Should Know About This Form

What is the purpose of the AF IMT 1565 form?

The AF IMT 1565 form serves as a record-keeping tool for the removal, receipt, and destruction of sensitive documents within the U.S. military framework. It enables organizations to track changes made to documents, ensuring accountability and compliance with security protocols. The form includes sections for acknowledging receipt of documents, certifying their removal, and confirming their destruction. By utilizing this form, personnel can maintain an organized and secure approach to handling classified material.

Who is responsible for completing the AF IMT 1565 form?

The responsibility for completing the AF IMT 1565 form typically falls on individuals or offices involved in the management of classified documents. This includes personnel who create documents, those overseeing document storage, and individuals authorized to remove or destroy sensitive materials. Each person must provide their signature and grade, ensuring an official record of actions taken. The process underscores the importance of oversight and traceability in managing classified information.

What information is required on the AF IMT 1565 form?

The AF IMT 1565 form requires various pieces of important information. This includes the basic document title, amendment details, and the specific sections being amended or removed. It also requires acknowledgment of receipt for both new and removed pages, the date of these actions, and the highest classification level of the documents involved. These requirements ensure that all actions are documented thoroughly, providing a clear chain of custody for sensitive information.

What happens after the AF IMT 1565 form is completed?

Once the AF IMT 1565 form is completed, the relevant parties must retain it as a part of their records related to document management. For documents that have been removed or destroyed, this form acts as a formal certification of those actions, meeting compliance standards and security regulations. The completed form should be stored in a secure location, ensuring that there is always an accessible record of what has been handled. Failure to complete and retain this paperwork could lead to accountability issues in the future.

Common mistakes

Filling out the AF IMT 1565 form can seem straightforward, but many people make mistakes that can lead to delays or complications. One common mistake is the omission of essential information in the removal and entry data section. Not including the basic document title, date, and control number can cause confusion and invalidate the form. Ensure that all relevant documents are documented correctly to prevent issues.

Another frequent error occurs in the certificate of receipt section. Some individuals neglect to properly acknowledge receipt of all removed pages or fail to sign and date the section. Without appropriate signatures, the form is incomplete. It’s crucial to double-check each box in this section to confirm that everything necessary for proper processing is recorded.

Accuracy matters when it comes to the organizational details. Filling in incorrect details under organization and office can lead to miscommunication and potential mishaps. It's essential to take extra care to write down the correct organization and office to avoid discrepancies down the line.

In the certificate of removal and entry section, a mistake that often occurs is failing to list all applicable pages accurately. Leaving out any pages or writing them incorrectly can create confusion about what was removed or entered. Always verify that every page is noted to maintain clarity and compliance.

Similarly, in the certificate of destruction section, some individuals forget to mention the date destroyed or fail to identify themselves properly as the destroying official. It's vital to ensure that this section is filled out completely, as failing to do so can raise red flags during audits or inspections regarding document handling procedures.

Lastly, neglecting to include the witness's printed name and signature on the certificate of destruction is a common oversight. This detail is crucial as it serves as verification that the destruction process was witnessed and executed properly. A missing witness signature could raise questions about the legitimacy of the destruction, which can lead to complications.

Taking the time to carefully review and complete the AF IMT 1565 form can save you from future headaches. Double-check every section and ensure that all necessary information is included. Doing so will help facilitate smooth processing and adherence to regulations for document handling.

Documents used along the form

The AF IMT 1565 form is essential for documenting the removal and entry of specific pages within a basic document. This form is often accompanied by several other critical documents that serve different purposes during the process. The following sections outline four commonly used documents along with brief descriptions of each.

  • AF IMT 150: This form is a request for the release of classified information. It ensures that proper protocols are followed for handling sensitive material, providing a record of requests made for information access.
  • AF IMT 856: The Certificate of Destruction is a key document that indicates when and how classified material has been destroyed. This form includes details such as the date of destruction and the signatures of the officials responsible for that action.
  • AF IMT 144: The Record of Emergency Data is used to document vital information regarding personnel. This ensures that critical contact details and preferences are available in case of emergencies, particularly for members of the military.
  • AF IMT 3626: This form serves as a daily report and record of operations. It contains details regarding daily activities, important events, and other relevant data needed for official records and assessments.

Understanding these related forms can improve the effectiveness of record management and compliance with regulations. Each document serves a specific purpose and contributes to the overall documentation process in an organized manner.

Similar forms

  • DD Form 250, Material Inspection and Receiving Report - This document serves to acknowledge the receipt of materials and their condition upon delivery. Similar to the AF IMT 1565, it includes sections for entering receipt data and certifying that the materials have been inspected.

  • SF 30, Amendment of Solicitation/Modification of Contract - This form is utilized to amend contracts and track changes. Both documents involve entry and amendment data, ensuring that all parties recognize changes made to the original document.

  • SF 1442, Solicitation for Bids - Used in the bidding process, this form requires acknowledgment of receipt and details about the changes in documentation. Like the AF IMT 1565, it emphasizes entering and managing amended information to maintain clarity and accuracy.

  • DD Form 1610, Request for Approval of Change of Station Travel - This form tracks personnel movement and often involves certifying approvals and changes similar to the AF IMT 1565. Both forms require detailed records and signatures for verification.

  • OF 1052, Application for Waiver of the 12-Month Rule - This document is used for filing a waiver application regarding military service timeframes. Similarities arise in the acknowledgment of receipt and documentation of approval or amendments made to original applications.

  • AF Form 300, Form for Requesting a Security Clearance - This form is related to personnel security and tracks requests and approvals, akin to the AF IMT 1565. Each form includes sections dedicated to the acknowledgment of received paperwork and ensuring all changes are documented properly.

Dos and Don'ts

When filling out the AF IMT 1565 form, it's essential to follow certain guidelines to ensure accuracy and compliance. Here are four things to do and four things to avoid:

  • Do: Double-check all information for accuracy before submission.
  • Do: Use clear and concise language in the description sections.
  • Do: Sign and date all required fields to validate the document.
  • Do: Familiarize yourself with the form’s instructions before you begin.
  • Don't: Leave any required fields blank; this may result in delays.
  • Don't: Use correction fluid to alter any part of the form.
  • Don't: Submit the form without confirming it complies with the relevant regulations.
  • Don't: Ignore the highest classification level when completing the form.

Misconceptions

  • Misconception 1: The AF IMT 1565 is only for document destruction.
  • While destruction is one aspect, this form also manages document entry and receipt, indicating a broader purpose.

  • Misconception 2: You must fill out the entire form each time you use it.
  • Users only need to complete the sections relevant to their specific request, which means not all fields are mandatory every time.

  • Misconception 3: The form is unnecessary if you are not removing classified documents.
  • The AF IMT 1565 is useful for any document management process, regardless of classification status, per organizational protocols.

  • Misconception 4: Only the originator can fill out the form.
  • Other authorized personnel can complete the form as long as they follow the necessary procedures established by their organization.

  • Misconception 5: The signatures are not important.
  • Signatures from both the removing and receiving officials are crucial as they confirm acknowledgment and certification, ensuring accountability.

  • Misconception 6: The form has a limited validity period.
  • There is no inherent expiration date on the AF IMT 1565; it remains valid as long as it is complete and follows the relevant regulations.

  • Misconception 7: You can’t make amendments once the form is signed.
  • Amendments can be documented on the form, permitting changes to be officially noted if required.

  • Misconception 8: This form is only for the Department of Defense.
  • While commonly used within the military, other agencies may also adapt this form for their documentation needs.

  • Misconception 9: You don’t need to document discrepancies.
  • Any discrepancies must be noted to maintain a clear record and facilitate resolution, underscoring accountability in document management.

Key takeaways

  • Understand the Sections: The AF IMT 1565 is divided into four main sections: Removal and Entry Data, Certificate of Receipt, Certificate of Removal and Entry, and Certificate of Destruction.
  • Accurate Information: Carefully fill in all fields under each section. Any omissions or inaccuracies can lead to delays or compliance issues.
  • Signature Requirement: Ensure that required signatures are obtained in the provided fields. This includes signatures from both the receiving and destroying officials.
  • Destruction Verification: Confirm that all removed pages have been destroyed according to proper protocols. Keep records of this destruction for accountability.
  • Classified Material: If the document contains classified information, be sure to indicate the highest classification level on the form.
  • Timely Submission: Submit the completed form promptly. Timeliness is crucial in maintaining proper document control within organizations.
  • Keep Copies: Maintain copies of the completed AF IMT 1565 for your records. This can be useful for future reference or audits.