Request_for_Access_Form.pdf

Visitor Type: 1. US Government Employee/Contract Employee (mark with an X)

2. Juvenile (under the age of 18)

3. Family member

4. Vendor/Contractor/Instructor

5. Other (specify)

From: To:

For visitor type 4 and 5, provide the following additional information:

Date of Birth:

SSN:

Race:

Gender:

Driver's License Number:

Driver's License State of Issue:

Place of Birth:

(City and State) OR (City and Country if foreign born)

This request must be submitted to the DEA point of contact.

The DEA point of contact will send the completed request to the Quantico - Security email.

This request must be submitted to security at least three (3) business days in advance of the date of visit for visitors type 4 and 5. Two (2) business days in advance for visitor type 1, 2, and 3.

All visitors must receive confirmation of access from their DEA point of contact prior to arriving at the DEA Academy.

Request for Access

Date(s) of Visit:

For all visitor types, provide the following information:

Last Name:

First Name:

Middle Name:

DEA Point of Contact:

Purpose of Visit:

Agency/Company/Affiliation:

Are you a sub-contractor: YES NO

If YES, name of prime contract company: ______________________

Revised April 14, 2017

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