Standard Form 86, Security Investigation Data for Sensitive Position

Document date 1 November 1970

Part 94page 461 pageDB Cooper-41961

Part of: Standard Form 86 Security Investigation Data for Sensitive Position · 17 December 1970 · Part 26 pp. 39–43

Open in FBI Vault (Part 94, page 46 of the PDF)
Report a problem

Email this to [email protected]

Id: Cooper-Part-94:046-046

Subject: Cooper Files: Cooper-Part-94:046-046

Document: Standard Form 86, Security Investigation Data for Sensitive Position
Id: Cooper-Part-94:046-046
Page: https://cooper.theunsolved.net/documents/Cooper-Part-94%3A046-046

What is wrong (title, date, type, which pages belong together, copies)?


What does the scan show?

Open in email app

A person reads every report. Corrections are made by hand, to the data — titles, dates, names, which pages belong together — never to the scans, and they can take a while to appear.

FBI 164-81, Vault Part 94 p. 46 (DB Cooper-41961), Form, dated 1 Nov 1970, serial PD 164-41-877 (as read from the transcript) — cooper.theunsolved.net/documents/Cooper-Part-94%3A046-046

Standard Form 86 AUGUST, 1954 U.S. CIVIL SERVICE COMMISSION (F.P.M. CHAPTER 735) 85-106

SECURITY INVESTIGATION DATA FOR SENSITIVE POSITION

INSTRUCTIONS.— Prepare in triplicate, using a typewriter. Fill in all items. If the answer is "No" or "None," so state. If more space is needed for any item, continue under item 28.

---

1. FULL NAME (LAST NAME) (FIRST NAME) (MIDDLE NAME) [redacted - b6 per BOC / b7C per BOC]

(Initials and abridgements of full name are not acceptable. If no middle name, show "(NMN)"; if initials only, show "(no given or middle name)"

OTHER NAMES USED. (Maiden name, names by former marriages, former names changed legally or otherwise, aliases, nicknames, etc. Specify which, and show dates used.)

2. DATE OF BIRTH b6 per BOC b7C per BOC

3. PLACE OF BIRTH b6 per BOC b7C per BOC

4. [X] MALE [ ] FEMALE

5. HEIGHT: 70" WEIGHT: 200 COLOR EYES: Bl COLOR HAIR: Br

---

6. [ ] SINGLE [X] MARRIED [ ] WIDOW(ER) [6] DIVORCED

7. IF MARRIED, WIDOWED, OR DIVORCED, GIVE FULL NAME AND DATE AND PLACE OF BIRTH OF SPOUSE OR FORMER SPOUSE. INCLUDE WIFE'S MAIDEN NAME. GIVE DATE AND PLACE OF MARRIAGE OR DIVORCE. b6 per BOC b7C per BOC

---

8. DATES AND PLACES OF RESIDENCE (If actual places of residence differ from the mailing addresses, furnish and identify both and go back to January 1, 1937. Continue under item 28 on other side if necessary.) Begin with present

FROM TO NUMBER AND STREET CITY STATE 11/01/70 Present 07/68 10/70 05/68 07/68 09/67 04/68 11/66 09/67 04/66 11/66 04/65 04/66 03/65 04/65 01/64 03/65 11/63 01/64 11/60 11/63 10/60 11/60

---

9. [X] BY BIRTH [ ] NATURALIZED ALIEN REGISTRATION NO. DATE, PLACE, AND COURT

[X] U.S. CITIZEN CERT. NO. PETITION NO. [ ] DERIVED-PARENTS CERT. NO(S).

[ ] ALIEN REGISTRATION NO. NATIVE COUNTRY DATE AND PORT OF ENTRY

---

10. EDUCATION. (All schools above elementary.) NAME OF SCHOOL ADDRESS FROM (Year) TO (Year) DEGREES [empty/redacted]

---

164-41-877 SEARCHED _____ INDEXED _____ SERIALIZED _____ FILED _____

FBI—PORTLAND

---

11. THIS SPACE FOR FBI USE (See also item 29.)

12. SOCIAL SECURITY NUMBER b6 per BOC b7C per BOC

13. MILITARY SERVICE (Past or present) SERIAL NO. BRANCH OF SERVICE (If none, give grade (Army, Navy, Air Force, etc.) FROM (Yr.) TO (Yr.) or [guess: classification]) Marine Corps 1951 1970

---

DB Cooper-41961

Serials: PD 164-41-877