secret - (SPAWAR) is - The US Navy

E~IBIT 12D
SAKPLB JAGMAN INVBSTIQATIOM FORMAT
BECNAVII?ST 5510.36
I7~fll~gg
5830
Ser
(Date)
From: (Name, title, grade/rank, command of investigating
official)
To: (Addressee)
Subj: JAGMAN INVESTIGATION FORMAT
Ref: (a) SECNAVINST 5510.36
(b) (JAGMA.Nappointment ltr)
(C) (JAGINST 5800.7C of 3 Ott 1990)
(d) (Any othere)
mcl: (1) (If any)
1. TYPB Or INCIDENT: (Loss or compromise) .
2. IDENTIFICATION OF LOST OR COMPROMISED INPORUATIOM OR
EQUIPKENT :
a. CLABBIFICATIOH: (Include warning notices/intelligence
control markings).
b. IDENTI171CATION/SERIAL NO(S):
c. DATE :
d. ORXaINATOR:
e. OcA(s) :
f. 80BJECT OR TITLE:
g. DOWNGRADING/DECLABBIVICATIOH INSTRUCTION:
h. NUMBER Or PAGES OR ITEMS Or EQUIPMENT INVOLVED:
i. COHHAN’D POINT Or CONTACT AND PHONE NOMBER:
j. UIC OF CUSTODIAL COMMAND:
8ECNAVINST 5510.36 12D-1