Classified Document Destruction Log

Log to document the destruction of classified material, including document control number, classification level, destruction method, and two-person witness verification.

Destruction Event Details

• Destruction Date
  Select the date the material was destroyed.
• Destruction Time
  Enter the time the destruction occurred.
• Destruction Location
  Enter the approved location where destruction took place.
• Document Control Number
  Enter the control number or unique identifier for the classified document.

Classification and Material Details

• Classification Level
  Select the classification level of the material.
• Material Type
  Select the type of material destroyed.
• If Other, specify material type
  Provide a brief description only if the material type is not listed above.
• Brief Material Description
  Provide a concise description of the destroyed material. Avoid including sensitive content beyond what is necessary for the audit trail.

Destruction Method and Verification

• Destruction Method
  Select the approved destruction method used.
• If Other, specify destruction method
  Provide the method used if it is not listed above.
• Secure Disposal Vendor
  Enter the vendor name only if a third-party secure disposal service was used.
• Certificate or Receipt Reference
  Enter the certificate, receipt, or chain-of-custody reference number if available.

Two-Person Witness Signatures

• Witness 1 Name
  Enter the name of the first witness.
• Witness 1 Signature
  First witness must sign to confirm the destruction occurred as recorded.
• Witness 2 Name
  Enter the name of the second witness.
• Witness 2 Signature
  Second witness must sign to confirm the destruction occurred as recorded.

Audit Trail and Retention

• Retention or Compliance Notes
  Add any policy references, exceptions, or follow-up actions related to this destruction event.
• Submitted By
  Enter the name of the person submitting this log entry.