9. CONTROLLING AUTH
CDR 15K BDE
10. CRYPTO PERIOD
MONTHLY
11. SEGMENT/DAY
12. ISSUED TO/DATE USED 13. DESTROYED BY/DEST DATE 14. WITNESSED BY/DATE
1 2 3-5 6 7 8-31
DA FORM 5941-E, JUL 03
See paragraph 4.8.2 for guidance regarding the classification marking of this form.
Figure 4 -7. COMSEC Material Disposition Record (DA Form 5941 -E)
Dennis R. Hilliard 2 Jan 03
Dennis R. Hilliard 2 Jan 03 Dennis R. Hilliard 3 Jan 03 Dennis R. Hilliard 1 Jan 03
Dennis R. Hilliard 5 Jan 03 Dennis R. Hilliard 6 Jan 03 Dennis R. Hilliard 7 Jan 03 Dennis R. Hilliard 31 Jan 03
Dennis R. Hilliard 5 Jan 03 Dennis R. Hilliard 7 Jan 03 Dennis R. Hilliard 8 Jan 03 Dennis R. Hilliard 1 Feb 03
Teresa B. Moreno 7 Jan 03 Teresa B. Moreno 2 Jan 03 Teresa B. Moreno 3 Jan 03 Teresa B. Moreno 5 Jan 03
Teresa B. Moreno 8 Jan 03 Teresa B. Moreno 1 Feb 03
TB 380-41
4.9 PREPARATION OF COMSEC MATERIAL REPORT (SF 153).
4.9.1 (U) General.
a. (U) The COMSEC Custodians of Traditional COMSEC accounts will manually report COMSEC material transfers, inventories, conversions, special possessions and
destructions using the COMSEC Material Report, SF 153. This form is for use in printed hard copy, automated reproduction, electronic transmission, or Automatic Data Processing (ADP) facsimile, provided all required data entries are included. It is used for all types of COMSEC accounting transactions including the hand receipt of material.
LCMS WORKSTATION accounts will print a hard copy for record purposes.
b. (U) SF 153s listing Positive Control Material (PCM) will be marked IAW the CJCSI 3260.01 publication.
c. (U) Reports will be signed in black or blue ink. Legible carbon-imprinted signatures on the SF 153 are acceptable. Multiple pages will be signed on the last page. All other pages will be initialed or signed.
d. (U) Individual(s) signing verifying deletions or corrections to an SF 153 will initial the report in black or blue ink.
e. (U) When a corrected voucher (SF 153) is submitted to the COR, it will be conspicuously annotated to reflect that it is a corrected copy, and it will be assigned the same Julian date and voucher number as the original voucher
submitted to the COR.
4.9.2 (U) SF 153 General Completion Instructions.
a. (U) Block 1. Place an "X" in the appropriate sub-block for the type of report or action being completed: Transfer Report, Inventory Report, Destruction Report, Hand Receipt, or Other. The "OTHER” sub-block is used when preparing other manual reports such
“OTHER” sub-block is used, indicate the type of report. When the “INVENTORY” sub-block is annotated, enter the type of inventory above the title line (see Table 4-7 and Figure 4-8).
b. (U) Block 2. From. Enter the complete official mailing address and the COMSEC account number under “ACCT NO.”
c. (U) Block 3. Date of Report. Enter the calendar date the report is completed. The year, month, and day, as shown, will be used.
d. (U) Block 4. Outgoing Number. Enter the Julian date and voucher serial number (e.g., 9181-0003) for outgoing transactions.
e. (U) Block 5. Date of Transaction.
Enter the calendar date on which the transaction occurred (used for hand receipt and Incoming).
f. (U) Block 6. Incoming Number (optional). Enter the Julian date and voucher serial number.
g. (U) Block 7. To. Enter the complete official mailing or physical address and the receiving COMSEC account under “ACCT NO,”
if applicable, as follows:
(1) (U) Transfer Report. Enter the physical address and the COMSEC account number of the gaining account.
(2) (U) For COMSEC accounting reports addressed to the COR, see Appendix F.
(3) (U) Hand Receipt (for Manual COMSEC Accounts only). Enter the name and official address of the individual receiving the COMSEC material. For TS material, only the name of the primary Hand Receipt Holder (block 15) is required.
h. (U) Block 8. For information only.
i. (U) Block 9. Short Title/Designation Edition. Enter short titles in alphanumerical sequence starting on line one. Omit the "TSEC"
prefix/suffix. All entries will be single-spaced.
The last line will be followed by the entry
"NOTHING FOLLOWS" in upper case letters. In the following circumstances a mandatory
TB 380-41
(1) (U) COMSEC material is received without accompanying Transfer Report.
(2) (U) A sudden permanent departure or unauthorized absence of the COMSEC Custodian has occurred.
(3) (U) COMSEC equipment loaned to another service or agency. Indicate the expected loan duration (number of days) and purpose of loan.
(4) (U) Reporting a change or short title and/or serial number when COMSEC equipment has been converted after application of a Modification Work Order (MWO).
(5) (U) Reporting COMSEC material that was not previously accounted for by the COMSEC account.
(6) (U) Repayment or loan to another service or agency. Refer to original loan transaction to verify original equipment.
(7) (U) Permanent transfer of COMSEC material to a service or agency outside the Army. Include the following information:
(a) (U) Authority for transaction. Assets will not be transferred to a non-Army service or agency without written CSLA approval.
(b) (U) Indicate the transaction is a transfer loan or the repayment of a loan.
(c) (U) COMSEC shipment received incomplete.
(8) (U) A Consolidated Destruction Report requires a certification statement as found in paragraph 4.19.5b(1)(b).
(9) (U) Destruction of PCM requires a statement be inserted as shown in paragraph 4.19.5b(4).
j. (U) Block 10. Quantity. Enter quantity of each line entry.
k. (U) Block 11. Accounting Numbers.
Enter serial numbers for ALC 1 material. When serial numbers for a line entry are in a series, the beginning number will be entered in the BEGINNING column and the last number will be entered in the ENDING column. When the serial numbers are not in series or the quantity is 1, enter the single serial number in the ENDING column (the CMCS can pick-up no more than an 11-digit serial numbers; therefore only the last 11 digits should be used).
l. (U) Block 12. ALC. Enter the ALC for each line entry.
m. (U) Block 13. Remarks. Make an entry when appropriate or when directed in specific report instructions.
n. (U) Block 14. The Material Hereon has been. Place an "X" in the Received, Inventoried, or Destroyed block.
o. (U) Block 15. Signature of Authorized Recipient. The COMSEC Custodian's hand-written signature and typed or stamped name, as shown on the CARP, is entered here. In the absence of the COMSEC Custodian, the alternate COMSEC Custodian will sign the transaction.
p. (U) Block 16. Signature and Typed or Stamped Name. The COMSEC witness will sign the SF 153. If the signature of a witness is required, check the WITNESS block.
q. (U) Block 17. Enter page numbers, classification of document, and if the SF 153 is reportable to the COR, Reports Control Symbol (RCS AMC-877).