GSA6027

Security Specialist Worksheet

Agency
GSA
Revision
Rev. 9/1990
Fillable fields
109
Pages
1
Official source
GSA form page
Checked
October 20, 2026
Fill GSA6027 online
Page 1 of form GSA6027

GSA Form 6027: Security Specialist Worksheet

GSA Form 6027, Security Specialist Worksheet, is a one-page General Services Administration form, GSA 6027 (REV. 9/1990). GSA hosts it in its forms library, and its page lists no authority or regulation.

The worksheet is about one subject. It records position sensitivity (boxes 4, 3, 2 and 1), the basis, the security clearance (Top Secret, Secret, Confidential or None, with an SF 189/312 line) and special clearances such as SI, TK, DOE Q, DOE L, ICS, NRC Q, NATO and COSMIC. A section headed ADJUNCTION prints tables for upgrading and converting issues by how recently they occurred, then a table of issues with control date, date of conduct or incident, time elapsed, issue characterization (A, B, C, D), upgrade and conversion.

The form closes with comments, a case status of pending or closed, and lines for the security specialist, the personnel security chief and the security officer's closing approval. You can fill it out free in your browser on this page and download the result without an account.

Top of page 1 of GSA Form 6027: Security Specialist Worksheet, as printed by GSA

What's on GSA Form 6027

Subject, sensitivity and basis

The subject's name, position sensitivity boxes 4, 3, 2 and 1, and an open block for the basis.

Security and special clearances

Top Secret, Secret, Confidential or None, with an SF 189/312 line, and special clearance boxes for SI, TK, DOE Q, DOE L, ICS, NRC Q, NATO, COSMIC and four blank boxes.

Upgrade rule

2 issues in 0-36 months: raise both issues once (e.g., "A" to "B"). 3 or more in 0-36 months: raise all issues twice (e.g., "A" to "C").

Conversion table

By period in which the issue occurred, 0-36, 37-72 or 73-108 months: B converts to B, A or non-issue; C to C, B or A; D to D, C or B.

Issues table

Issue(s), then (1) control date, (2) date of conduct/incident, (3) time elapsed (1) - (2), (4) issue characterization (A, B, C, D), (5) upgrade and (6) conversion.

Comments, status and approval

Comments, case status pending or closed, the security specialist and personnel security chief lines, and the security officer's closing approval.

How to complete GSA Form 6027

  1. 1

    Enter the subject and position

    Name the subject, check a position sensitivity box and fill in the basis.

  2. 2

    Mark the clearances

    Check the security clearance and any special clearances, and complete the SF 189/312 line.

  3. 3

    List each issue

    Enter each issue with its control date and date of conduct or incident. Column 3 is headed time elapsed (1) - (2).

  4. 4

    Characterize, upgrade and convert

    Enter the characterization A, B, C or D in column 4, then the upgrade and conversion in columns 5 and 6, using the two tables printed above.

  5. 5

    Add comments and case status

    Write any comments and check pending or closed.

  6. 6

    Sign and approve

    The security specialist and personnel security chief date their lines, and the security officer signs and dates the closing approval.

Why fill Form GSA6027 on indox

You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.

  • Fill the form right in your browser, no software to install
  • Free to fill and free to download, with no account
  • The official blank straight from the GSA, not a copy someone retyped
  • Works on a phone, tablet or computer

Routing and what the form says

Where it goes

The PDF gives no filing address or routing. It ends with a closing approval by the security officer.

Authority

GSA's page lists no authority or regulation for this form.

Other forms named

The form prints SF 189/312 beneath the security clearance boxes and does not explain it further.

Notices

The PDF prints no Privacy Act notice, OMB number or burden estimate.

Related forms

Who fills out GSA Form 6027?

  • Security specialist

    The form is titled Security Specialist Worksheet and has a SECURITY SPECIALIST line with a date.

  • Personnel security chief

    A second line, with a date, is for the personnel security chief.

  • Security officer

    Under CLOSING APPROVAL, the security officer signs and dates the form.

  • The subject

    The SUBJECT block at the top names the person the worksheet is about. The form prints no signature line for the subject.

The form prints no instructions. It names a subject at the top and three security staff lines at the bottom.

Official sources and the blank

Do it all with indox

View all 94 tools

Questions about Form GSA6027

Who issues GSA Form 6027?

It is printed as a General Services Administration form, GSA 6027 (REV. 9/1990). GSA's page lists no authority or regulation.

Who completes and signs GSA Form 6027?

The form has lines for the security specialist and the personnel security chief, each with a date, and a closing approval signed by the security officer. The subject does not sign.

What does the upgrade table say?

It prints: 2 issues in 0-36 months, raise both issues once (e.g., "A" to "B"); 3 or more issues in 0-36 months, raise all issues twice (e.g., "A" to "C").

How does the conversion table work?

It lists issues B, C and D against the period in which the issue occurred. For example, a B issue converts to A at 37-72 months and to non-issue at 73-108 months.

Which clearances does the form list?

Top Secret, Secret, Confidential or None, plus special clearance boxes for SI, TK, DOE Q, DOE L, ICS, NRC Q, NATO and COSMIC, and four blank boxes.

Does the form mention other forms?

It prints SF 189/312 under the security clearance boxes. GSA's forms library hosts SF 312, Classified Information Nondisclosure Agreement.