DOPSR Rvw UAP Self Reporting Mechanism 12-11-2023 (FOIA 25-F-3452)

CERTIFICATION AND CONSENT
You must agree to each statement below to submit your report. Please read each *
one and check the box if you agree.
,--, I certify, to the best of my knowledge, that the provided information is NOT
I—I CLASSIFIED, and is approved for public release.
▪ I consent to being contacted by AARO should additional information be required.
I▪ certify, to the best of my knowledge, that the provided information is true and
I—▪ I accurate.
,__, I understand that I am voluntarily providing personal identifiable information to
AARO.
▪ I understand that the information I provide may be subject to the safeguards of the
1-▪ 1 Privacy Act of 1974.
Do not submit classified or other non-public information through this form.
CERTIFICATION AND CONSENT
Figure 24: Certification and Consent
Step 29: Consent and certify all responses:
Click the checkbox next to every statement to certify all of your responses and provide consent that you understand that
this form is voluntary. An AARO representative may contact you for follow-up discussion.
All checkboxes must be checked to submit your U.S. Government UAP-related Program/Activity Report.
Step 30: Submittal:
Review the Penalty for False Reporting Statement.
Click the Submit button if all information you have provided is true to the best of your knowledge.
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