Get the free NRC Form 136 Security Termination Statement - pbadupws nrc

This document details the information collection requirements of the NRC Form 136, which is used to acknowledge the termination of security clearance for personnel accessing classified information.

How to fill out nrc form 136 security

How to fill out NRC Form 136 Security Termination Statement

1. Obtain NRC Form 136 from the NRC website or your facility's safety office.
2. Fill in the date of the termination statement at the top of the form.
3. Provide your name and title in the designated section.
4. Specify the organization or facility affiliation.
5. List all access authorization levels held during your service.
6. Include details of the specific facility or location you are terminating from.
7. Sign and date the form at the bottom to certify the information provided.
8. Submit the completed form to the appropriate NRC regional office or safety office.

Who needs NRC Form 136 Security Termination Statement?

1. Individuals who are terminating their access to NRC-controlled facilities.
2. Employees who have held security clearances and are leaving their positions.
3. Contractors or visitors who have had access to sensitive information and need to formally end their authorization.

People Also Ask about

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In response, the Nuclear Regulatory Commission (NRC) was established in 1974. Its mission included ensuring public health and safety by regulating civilian use of nuclear materials. The purpose of these regulations is multifaceted. Primarily, they aim to protect nuclear facilities from unauthorized access and sabotage.

What is the purpose for NRC Form 3 notice to employees?

The U.S. Nuclear Regulatory Commission (NRC) is announcing the availability of the latest version of NRC Form 3, “Notice to Employees.” The NRC Form 3 describes certain responsibilities and rights of employers and employees who engage in NRC-regulated activities, including how employees can report violations or other

What are Category 3 sources NRC?

Category 3 sources, if not safely or securely managed, could cause permanent injury to a person who handled them or was otherwise in contact with them for hours. It could possibly—although it is unlikely to—be fatal to be close to this amount of unshielded radioactive material for a period of days to weeks.

What is the purpose of employment forms what types of forms do employees need to fill out?

Employee's eligibility to work in the United States Employer must verify the identity and employment authorization of individuals hired for employment in the United States. Employer use Form I-9, Employment Eligibility Verification PDF, for this purpose.

What is the main purpose of the NRC?

The NRC licenses and regulates the Nation's civilian use of radioactive materials, to provide reasonable assurance of adequate protection of public health and safety, to promote the common defense and security, and to protect the environment.

What does the NRC Form 3 describe?

The U.S. Nuclear Regulatory Commission (NRC) is announcing the availability of the latest version of NRC Form 3, “Notice to Employees.” The NRC Form 3 describes certain responsibilities and rights of employers and employees who engage in NRC-regulated activities, including how employees can report violations or other

For pdfFiller’s FAQs

What is NRC Form 136 Security Termination Statement?

NRC Form 136 is a document used to officially terminate security clearances for individuals who are no longer affiliated with activities that require such clearances in the context of the U.S. Nuclear Regulatory Commission (NRC).

Who is required to file NRC Form 136 Security Termination Statement?

NRC Form 136 must be filed by licensees, certificate holders, and other entities authorized by the NRC whose employees, contractors, or affiliates hold security clearances and are terminating their involvement in activities requiring such clearances.

How to fill out NRC Form 136 Security Termination Statement?

To fill out NRC Form 136, provide the required information such as the individual's name, social security number, position title, reason for termination of clearance, and any other relevant details as prompted by the form. Ensure that all sections are complete and accurate before submission.

What is the purpose of NRC Form 136 Security Termination Statement?

The purpose of NRC Form 136 is to formally document the termination of security clearances, ensuring that the NRC maintains accurate records of individuals who no longer require access to classified or sensitive information.

What information must be reported on NRC Form 136 Security Termination Statement?

The information that must be reported on NRC Form 136 includes the individual's full name, social security number, the reason for termination, the date of termination, and any other relevant identification or security clearance numbers.