[_]:[_]:[_____]FS
SCSV Thousand Pens

Weapon Utilization Permit

Overseeing Officer's Signature
[_____________________________________]
Access Recipient's Signature
[_____________________________________]

This Permit authorizes use of the following weapons:

[_____________________________________]

And shall only be issued upon the clear indication of complete training by the individual, or otherwise via
Emergency Authorization.

Should this be issued via Emergency Authorization, please mark here: [___]

Issuing Officer's Stamp:

Should this document be erroneous, out of date, or otherwise incorrectly
scribed, the On Duty Logistics Deck Officer must stamp the following box
to invalidate further use of this official document.