Statement A : Approved for public release; distribution is unlimited.
Statement B : Distribution authorized to U.S. Government agencies only; (fill in reason); (date of determination). Other requests for this document shall be referred to (insert controlling government office).
Statement C : Distribution authorized to U.S. Government agencies and their contractors; (fill in reason); (date of determination). Other requests for this document shall be referred to (insert controlling government office).
Statement D : Distribution authorized to the Department of Defense and U.S. DoD contractors only; (fill in reason); (date of determination). Other requests shall be referred to (insert controlling DoD office).
Statement E : Distribution authorized to DoD Components only; (fill in reason); (date of determination). Other requests shall be referred to (insert controlling DoD office).

2. Is your paper ITAR restricted? (mandatory for critical technology, direct military support, and export controlled)

Yes
No

3. What are your reasons for choosing your distribution statement in Question #1? (The letters in parentheses are the reasons applicable to your distribution statement!)

Foreign Government Information (B, C, D, E)
Premature Dissemination (B, E)
Proprietary Information (B, D)
Administrative/Operational Use (B, C, D, E)
Critical Technology (B, C, D, E)
Software Documentation (B, C, D, E)
Test and Evaluation (B, E)
Specific Authority (B, C, D, E)
Contractor Performance/Evaluation (B, E)
Direct Military Support (E)
Operations Security (B, E)
Vulnerability Information (B, C, D, E)
Export Controlled (B, C, D, E)

4. What is your controlling office address?

5. What is your date of determination?

5. Cut and paste your completed footer below into the first page of your document!