Download the form
Department of Defense form 441-1. Official designation: DD form 441-1, Appendage to DoD Security Agreement, 20120501 draft. Purpose: Appendage to Department of Defense Security Agreement. Current edition not stated, status not stated.
Governing directive: not stated. Responsible office: not stated. The DD designation signals joint scope — all military departments, combatant commands and defense agencies draw on a single edition of the document.
Common users: service members regardless of branch, Defense civilian staff, and the offices that file, verify or retain the finished document.
Timing of submission is fixed by not stated and by the implementing guidance of the submitting organization. What follows describes the blank document, not agency procedure.
Available formats: PDF. The form runs 1 pages and contains approximately 50 fillable fields.
Pdf serves as the base format. In the fillable variant, each box is an interactive field that holds typed text inside the document. In the flat printable variant, no fields exist — the page prints as a blank to be completed by hand. Typed entries survive transmission; handwriting does not always survive scanning.
Xfdl is present in the set. The format belongs to IBM Lotus Forms — long the Defense standard for electronic forms — and needs the matching viewer; pdf applications will report the file as unreadable.
Every listed format is free to download. Modern pdf software handles the pdf files, with the caveat that browser-embedded viewers sometimes ignore field properties that a desktop reader honours.
What the form asks for
- It is further agreed, on this (enter day).
- Day of (enter month).
- (Enter year).
- by and between the U.S. through the Defense Security Service, acting for the Department of Defense, hereinafter called the Government, and (enter name of contractor).
- Name of plant or facility, line 1.
- Number and street address.
- City and state.
- Name of plant or facility, line 2.
- Number and street address.
- City and state.
- Name of plant or facility, line 3.
- Number and street address.
- City and state.
- Name of plant or facility, line 4.
- Number and street address.
- City and state.
- Name of plant or facility, line 5.
- Number and street address.
- City and state.
- Name of plant or facility, line 6.
- Number and street address.
- City and state.
- Name of plant or facility, line 7.
- Number and street address.
Order of completion: identification block first, substantive entries second, certification and signature last. The blank is laid out in that sequence and the sequence is not arbitrary — later entries often depend on data established in the header.
The current edition is not stated. Superseded editions of DD forms are frequently rejected at the receiving office, since Department-wide forms change centrally and older layouts lose their field correspondence. Edition date appears in the lower corner of the printed blank.
Guidance for specific entries sits on the form face and in not stated; the directive is authoritative where the two do not agree.
Once executed, routing follows not stated and the submitting organization's own instruction. Keeping a copy is standard.
Cross-referenced forms are found through the numbering system. The DD sequence is Department-level and unified, which means a number cited on the page identifies one document across the whole Department.
Some procedures pair a DD form with a service form. The two numbering systems are separate — service forms answer to a service proponent, DD forms to not stated or another Department office — and a matching number in each system means nothing.
Forms are reissued for several reasons: directive revision, changed data requirements, updated notice language. Confirming not stated at the moment of download covers the risk.
The material here is descriptive. Nothing on the page constitutes legal or procedural advice, and no statement here determines whether a submitted form will be accepted. Such questions go to not stated, a servicing administrative office, or the authority identified in not stated.
Questions and answers
- What is DD Form 441-1?
- DD form 441-1, Appendage to DoD Security Agreement, 20120501 draft
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?