4-00000

104-10120-10271 2025 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF 1992 SECRET

REQUEST FOR DOMESTIC COVER LIST ENTRY OR CHANGE

SUBMIT THIS FORM IN TRIPLICATE, ENCLOSED IN SEALED ENVELOPE TO : DCB/CCG THROUGH: SSD/OS SUBJECT: Calvin W. Hicks DATE 21 September 1960

ENTRY CHANGE

Inclusion of subject on the Domestic Cover List is requested for the reason noted below. When notified that cover has been es- tablished, subject will be specif- ically authorized and instructed to conceal his Agency affiliation. Subject is currently included on the Domestic Cover List. For the reason noted below, it is requested that

this employee be removed from the Domestic Cover List.

the following change-be made: REASON To provide Subject with an organizational affiliation other than CIA. SE VER DDEA&S E Chief to Chief F DVER CAN E SID ir..Br. .br. SIGNATURE DATE FORM COVER (Complete only for new entries) 32.12-33 None 1956-58 (Military Staff agent. in Cherat) 1958-60 (DAC in Cherat) TYPE SUGGESTED (Specify whether official or non- official) JUSTIFICATION. IF NON-OFFICIAL COVER SUGGESTED 32.12-33 32. Official - DAC

Note: APPROVED BY CENTRAL COVER DIVISION

Dosk REQUEST ING OFFICIAL John F. Gardiner, Jr. TITLE

43132

NE Security Officer

22 US 1324 OBSOLETE PREVIOUS EDITIONS. 17,583 3/60 SECRET (38)