Form b public Release Approval Endorsements for non-mitre authored Information

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Form B

Public Release Approval Endorsements

for non-MITRE Authored Information
U.S. Government Employee Authors

This form is to be used only by US Government Employee Authors (military and civilian). Complete Parts 1 and II.

The Author(s) hereby warrants that the material submitted to MITRE is not copyrighted by a third party; or if it is copyrighted by a third party, that party has provided prior written approval to the Author for submission of such material to MITRE. To support this warranty, the Author(s) agrees to indemnify and hold harmless The MITRE Corporation for all liability, damages and attorney fees that may be incurred in any legal action connected with copyright infringement involving the material produced or provided.

Title of submission

Part 1 – US Government Employee Author Endorsement
Signature in Part 1 certifies that author and co-authors(s),

if any, have received all required US Government agency approvals.


For jointly authored material, only one signature is required, however, all co-authors need to be advised of the above terms (i.e., they also need to have received all required approvals prior to signature).

Author (Print or type) Date
Part II – Author and Government Second Endorsement

Part II is required for unclassified material to be posted on a MITRE public web page or presented at a MITRE hosted conference. Part II is to be completed by a US Government individual authorized to release and clear information for open publication or public disclosure

(e.g., security review officer).

Releasing Official

Your signature authorizes public release of this unclassified material and its inclusion on a MITRE public web page or for presentation at a MITRE hosted conference.
Name of US Government Releasing Official (Print or type)

Author’s Phone Fax

Mailing Address
City, State, Zip
Author’s Signature Date

Official’s Title

Official’s Phone
Mailing Address
City, State, Zip
Releasing Official’s Signature Date

MITRE Information Security Approval Release Number

Approved for Public Release: 10-4358. Distribution Unlimited

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