Skip to content

Get Judicial Watch Updates!

DONATE

Judicial Watch • JW-v-DOJ-HRC-emails-02046 pg 355-356

JW-v-DOJ-HRC-emails-02046 pg 355-356

JW-v-DOJ-HRC-emails-02046 pg 355-356

Page 1: JW-v-DOJ-HRC-emails-02046 pg 355-356

Category:

Number of Pages:2

Date Created:April 8, 2019

Date Uploaded to the Library:April 08, 2019

Tags:Sections, signature, HRC emails 02046, classified, 02046, witness, agreement, protection, access, EXECUTIVE, HRC, order, Emails, security, government, DOJ, department, states, united


File Scanned for Malware

Donate now to keep these documents public!


See Generated Text   ∨

Autogenerated text from PDF

CLASSIFIED INFORMATION NONDISCLOSURE
AGREEMENT AGREEMENT BETWEEN
Hillary Rodham Clinton
AND THE UNITED STATES
(Name Individual Printed typed) Intending ~ally bound, hereby accept the obligations contained this Agreement consideration being granted
access classified infonnation. used this Agreement. classified infonnation marked unmarked classified information,
including oral communications, that classified under the standards Executive Order 12958, under any other Executive order
statute that prohibits the unauthorized disclosure infonnation the interest national security; and unclassified information that
meets the standards for classification and the process classification determination provided Section 1.1, 1.2, 1.3 and
1.4(e) Executive Order 12958, under any other Executive order statute that requires protection for such information the
interest national security. I.understand and accept that being granted access classified information, special confidence and
trust shall placed the United States Government hereby acknowledge that have received security indoctrination concerning the nature and protection classified information,
including the procedures followed ascertaining whether other persons whom contemplate disclosing this information have
been approved for access it, and that understand these procedures. have been advised that the unauthorized disclosure, unauthorized retention, negligent handling classified information
could cause damage irreparable injury the United States could used advantage foreign nation. hereby agree that
will never divulge classified information anyone unless: (a) have officially verified that the recipient has been properly authorized
the United States Government receive it; (b) have been given prior written notice authorization from the United States
Government Department Agency (hereinafter Department Agency) responsible for the classification information last granting security clearance that such disclosure permitted. understand that uncertain about the classification status
information, required confinn from authorized official that the lnfonnation unclassified before may disclose it, except
person provided (a) (b), above. further understand that obligated comply with laws and regulations that prohibit the
unaulhorized disclosure classified information. have been advised that any breach this Agreement may result the termination any security clearances hold; removal from
any position special confidence and trust requiring such clearances; termination employment other relationships with the
Departments Agencies that granted security clearance clearances. addition, have been advised that any unauthorized
disclosure classified information may constitute violation, violations, United States criminal laws, including the
provisions Sections 641, 793, 794, 798, *952 and 1924, Title 18, United States Code, *the provisions Section 783(b), Title 50,
United States code, and the provisions the intelligence Identities Protection Act 1982. recognize that nothing the Agreement
constitutes waiver the United States the right prosecute for any statutory violation. hereby assign the United States Government all royalties, remunerations, and emoluments that have resulted, will result may
result from any disclosure, publication revelation classified information not consistent with the terms this Agreement. understand that the United States Government may seek any remedy available enforce this Agreement including, but not
limited to, application for court order prohibiting disclosure information breach this Agreement. understand that all classified information which have access may obtain access signing this Agreement now and will
remain the property of, under the control the United States Government unless and until otherwise determined authorized
official final ruling court law. agree that shall return all classified materials which have, may come into possession
for which responsible because such aocess: (a) upon demand authorized representative the United States
Govermnent; (b) upon the conclusion employment other relationship with the Department Agency that last granted
security clearance that provided access classified information; (c) upon the conclusion employment other
relationship that requires access classified infonnation. not return such materials upon request, understand that this may violation Sections 793 and/or 1924, Title 18, United States Code, United States criminal law. Unless and until released writing authorized representative the United States Government, understand that all
conditions and obligations imposed upon this Agreement apply during the time granted access classified information,
and all times thereafter. Each provision this Agreement severable. court sllqjJd:fw1d-.a11Y provision this Agreement unenforceable, all other
provisions this Agreement shall remain full force and effect.
,., ,,:;: liJZ
(Conflnu~ orl r:ey~rse:J
.., ,,,
NSN 7540-01 -280-5499
Previous edition not usable
STANDARD FORM 312 (Rev. 1-00)
Prescribed NARA/1500 CFR 2003.E.O. 12958
HRC-2588
10. These restrictions are consistent with and not supersede, conflict with otherwise alter the employee obligations, rights
liabilities ~ted Executive Order 12958, Section 7211 Title United States code (governing disclosures Congress): Section
1034 Title 10, United States code, amended the Military Whistleblower Protection Ad. (governing dlsclosur! to.cotlgress
members the mlitary); Section 2302(b) (8) Tile United States Code, amended the Whistleblower Proteclidn Ad.
(governing disclosures Illegality, waste, fraud; abuse public health safety threats): the lnleUigence Identities Protection
1982 (50 U.S.C. 421 seq.) (governing disclosures that expose confidential Government agents), and the statutes which protect
against disclosure that may compromise the national security, including Sections 641, 793, 794, 798, 952 and 1924 Tltle 18, United
State Code, and Section 4(b) the Subversive Activities 1950 (50 U.S.C. Section 783(b)). The definitions, requirements,
obligations, rights, sanctions and Hablllties created said Executive Order and listed statutes are Incorporated Into this Agreement
and are contmlr111g.
11.1 have read this Agreement carefully and questions, any, have been answered. acknowledge that the briefing officer has
made available the Executive Order and statutes referenced this agreement and its implementing regulation (32 CFR Section
2003.20) that may read them this time, choose.
.DATE {tmH!d-yyyyJ
1.1. t,..1,QoC
SOCW. SECURl1Y NUMBER
(See Nobbelow. ,------ per DOS
ORGANIZATION (IF CONTRACTOR, LICENSEE, GRANTEE AGENT, PROVIDE: NAME, ADDRESS, AND APPLICABLE. FEDERAL SUPPLV CODE NUMBER)
(Type plfnt)
Department State
2201 Street
Washington. 20S20
ACCEPTANCE
WITNESS
TIE EXECUTION THIS AGREEMENT WAS WITNESSED THE UNDERSIGNED.
sv,.,a ,.,-~
DATE (mm-dd-yyyy)
........ ,..,.u
(Type pnntJ
THE UNDERSIGNED ACCEPTED THIS AGREEMENT
BEHALF THE UNITED STATES.GOVERNMENT.
SIGNATURE
DATE (mm-dd-yyyy)
o-l/. ..w per DOS
b7C per DOs
NAME ANO ADDRESS {Type ptint)
Decartment State Street
Washington, 20520
SECURITY DEBRIEFING ACKNOWLEDGMENT reaffirm that lhe provisions lhe espionage laws, other federal criminal laws and executive orders applicable the safeguarding classified
information have been made available me; that have ntbJmed all classified in,Onnation custody; that will not oonvnunicate transmit
classified infonnation any unaulhorized person organization; th.at will promptly repQrt the Federal Bureau Investigation any attempt
unauthorized person solicit classified information, and that (have) (have not) (strike out Inappropriate word words) received security debriefing.
DATE (mm-dd-yyyyJ
SIGNATURE EMPLOYEE
NAME WITNESS (Type ptfnQ
SIGNATURE WITNESS
NOTICE: The Privacy Ad, U.S.C. 552a, requires that federal agencies Inform individuals, the lime Information solicited from them, whether the
disclosure mandatory voluntary, what authority such Information solicited, and what uses will made the lnfonnalion. You are hereby
advised that authority for solidtlng your Social Security Number (SSN) Executive Order 9397. Your SSN will used Identify you precisely when necessary certify lhat you have access the Information indicated above determine that your access the Information Indicated has
terminated. Although disclosure your SSN not mandatory, your failure may impede the processing such certifications determinations. possibly result lhe denial your being granted access classified infonnation.
NOT APPLICABLE NON-GOVERNMENT PERSONNEL SIGNING THIS AGREEMENT.
STANDARD FORM 312 BACK (Rev. 1-GO)
HRC-2589