Form 5522: Fill out & sign online

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Click ‘Get Form’ to open it in the editor.
Begin by entering your personal information in the designated fields, including your name, rank/rate, EMPLID, and duty location. This information is crucial for identifying your records.
Proceed to the section regarding illegal drug use. Select 'YES' or 'NO' and provide additional details if applicable. Be honest, as this impacts your access to classified materials.
In the alcohol use section, answer whether it has negatively affected your work or relationships. If yes, include further explanation.
For the police record inquiry, indicate any arrests or convictions. Again, provide extra information if you answered 'YES'.
Address financial records by stating if you are over 90 days delinquent on any debts and explain if necessary.
Complete the mental and emotional health section by answering truthfully about consultations with healthcare professionals.
Finally, review all entries for accuracy before signing and dating the form at the bottom.

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