{
  "url": "https://openlegislation.uk/eu-decision-2019-1963/annex-III/appendix-D",
  "json_url": "https://openlegislation.uk/eu-decision-2019-1963/annex-III/appendix-D.json",
  "legislation": "eudn/2019/1963",
  "legislation_title": "Commission Decision (EU, Euratom) 2019/1963 of 17 October 2019 laying down implementing rules on industrial security with regard to classified procurement contracts",
  "legislation_url": "https://openlegislation.uk/eu-decision-2019-1963",
  "path": "annex/III/appendix/D",
  "kind": "appendix",
  "number": "D",
  "heading": null,
  "text": "FACILITY SECURITY CLEARANCE INFORMATION SHEET (FSCIS)\n(MODEL)\n1.\nIntroduction\n1.1.\nAttached is a sample Facility Security Clearance Information Sheet (FSCIS) for the rapid exchange of information between the National Security Authority (NSA) or Designated Security Authority (DSA), other competent national security authorities and the Commission (as contracting authority) with regard to the Facility Security Clearance (FSC) of a facility involved in classified tenders, contracts or subcontracts.\n1.2.\nThe FSCIS is valid only if stamped by the relevant NSA/DSA or other competent authority.\n1.3.\nThe FSCIS is divided into a request and reply section and can be used for the purposes identified above or for any other purposes for which the FSC status of a particular facility is required. The reason for the enquiry must be identified by the requesting NSA/DSA in field 7 of the request section.\n1.4.\nThe details contained in the FSCIS are not normally classified; accordingly, when an FSCIS is to be sent between the respective NSAs/DSAs/Commission this should preferably be done by electronic means.\n1.5.\nNSAs/DSAs should make every effort to respond to an FSCIS request within ten working days.\n1.6.\nShould any classified information be transferred or a contract awarded in relation to this assurance, the issuing NSA/DSA must be informed.\nProcedures and Instructions for the use of the Facility Security Clearance Information Sheet (FSCIS)\nThese detailed instructions are for the NSA/DSA or the Commission contracting authority that completes the FSCIS. The request should preferably be typed in capital letters.\nHEADER\nThe requester inserts full NSA/DSA and country name.\n1.\nREQUEST TYPE\nThe requesting contracting authority selects the appropriate checkbox for the type of FSCIS request. Include the level of security clearance requested. The following abbreviations should be used:\nSECRET UE/EU SECRET = S-UE/EU-S\nCONFIDENTIEL UE/EU CONFIDENTIAL = C-UE/EU-C\nCIS = Communication and information systems for processing classified information\n2.\nSUBJECT DETAILS\nFields 1 to 6 are self-evident.\nIn field 4 the standard two-letter country code should be used. Field 5 is optional.\n3.\nREASON FOR REQUEST\nGive the specific reason for the request, provide project indicators, number of contract or invitation to tender. Please specify the need for storage capability, CIS classification level, etc.\nAny deadline/expiry/award dates which may have a bearing on the completion of an FSC should be included.\n4.\nREQUESTING NSA/DSA\nState the name of the actual requester (on behalf of the NSA/DSA) and the date of the request in number format (dd/mm/yyyy).\n5.\nREPLY SECTION\nFields 1-5: select appropriate fields.\nField 2: if an FSC is in progress, it is recommended to give the requester an indication of the required processing time (if known).\nField 6:\n(a) Although validation differs by country or even by facility, it is recommended that the expiry date of the FSC be given.\n(b) In cases where the expiry date of the FSC assurance is indefinite, this field may be crossed out.\n(c) In compliance with respective national rules and regulations, the requester or either the contractor or subcontractor is responsible for applying for a renewal of the FSC.\n6.\nREMARKS\nMay be used for additional information with regard to the FSC, the facility or the foregoing items.\n7.\nISSUING NSA/DSA\nState the name of the providing authority (on behalf of the NSA/DSA) and the date of the reply in number format (dd/mm/yyyy).\nFACILITY SECURITY CLEARANCE INFORMATION SHEET (FSCIS)\n(MODEL)\nAll fields must be completed and the form communicated via Government-to-Government or Government-to-international organisation channels.\nREQUEST FOR A FACILITY SECURITY CLEARANCE ASSURANCE\nTo: ____________________________________\n(NSA/DSA Country name)\nPlease complete the reply boxes, where applicable:\n[ ] Provide an FSC assurance at the level of: [ ] S-UE/EU-S [ ] C-UE/EU-C\nfor the facility listed below\n[ ] Including safeguarding of classified material/information\n[ ] Including Communication and Information Systems (CIS) for processing classified information\n[ ] Initiate, directly or upon a corresponding request of a contractor or subcontractor, the process of obtaining an FSC up to and including the level of … with … level of safeguarding and … level of CIS, if the facility does not currently hold these levels of capabilities.\nConfirm accuracy of the details of the facility listed below and provide corrections/additions as required.\n1.\nFull facility name:\nCorrections/Additions:\n…\n…\n2.\nFull facility address:\n…\n…\n3.\nPostal address (if different from 2)\n…\n…\n4.\nZip/post code/city/country\n…\n…\n5.\nName of the Security Officer\n…\n…\n6.\nTelephone/Fax/Email of the Security Officer\n…\n…\n7.\nThis request is made for the following reason(s): (provide details of the pre-contractual (proposal selection) stage, contract or subcontract, programme/project, etc.)\n…\nRequesting NSA/DSA/Commission contracting authority: Name: … Date: (dd/mm/yyyy) …\nREPLY (within ten working days)\nThis is to certify that:\n1.. [ ] the abovementioned facility holds an FSC up to and including the level of [ ] S-UE/EU-S\n[ ] C-UE/EU-C.\n2.. The abovementioned facility has the capability to safeguard classified information/material:\n[ ] yes, level: … [ ] no.\n3.. the abovementioned facility has accredited/authorised CIS:\n[ ] yes, level: … [ ] no.\n4.. [ ] in relation to the abovementioned request, the FSC process has been initiated. You will be informed when the FSC has been established or refused.\n5.. [ ] the abovementioned facility does not hold an FSC.\n6.. This FSC assurance expires on: … (dd/mm/yyyy), or as advised otherwise by the NSA/DSA. In the case of earlier invalidation or any changes to the information listed above, you will be informed.\n7.. Remarks:\n…\nIssuing NSA/DSA Name: … Date: (dd/mm/yyyy) …\n<Placeholder for reference to applicable personal data legislation and link to mandatory information to the data subject, e.g. how Article 13 of the General Data Protection Regulation is implemented.>",
  "extent": "E+W+S+N.I.",
  "status": null,
  "version": "current",
  "annotations": [
    {
      "type": "footnote",
      "label": "f1",
      "text": "Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC (General Data Protection Regulation) (OJ L 119, 4.5.2016, p. 1)."
    }
  ],
  "outstanding_effects": [],
  "provenance": {
    "source": "legislation.gov.uk",
    "source_url": "https://www.legislation.gov.uk/eudn/2019/1963/annex/III/appendix/D",
    "retrieved_at": "2026-11-01T15:12:30.585648+00:00"
  },
  "licence": "Open Government Licence v3.0",
  "licence_url": "https://www.nationalarchives.gov.uk/doc/open-government-licence/version/3/",
  "attribution": "Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives."
}