2.03c_RFQ_Attachment_3_SECNAV_5512_INSTRUCTIONS.pdf
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- Solicitation number
- N6883626Q0056
About this file
This document is an instruction guide for completing the SECNAV 5512/1 form required for base access by visitors ages 18 and older who do not possess a current Department of Defense Common Access Card (CAC). The form must be submitted to Visitor Control and remains valid for 90 days from the date of vetting.
Forms will be rejected if Blocks 28 and 29 are not initialed, the form is unsigned, the Social Security Number is left blank for U.S. citizens or permanent residents (per Naval Research Laboratory requirement), or if forms are emailed directly to Visitor Control unencrypted. Completion requirements include entering biographical information (Blocks 1-12), providing two forms of identity source documents with the SSN mandatory for U.S. citizens and permanent residents (Blocks 13-18), recording physical descriptors including weight, height, hair color, and eye color (Blocks 19-22), and providing contact information including home address, phone number, sponsor name, and employment details (Blocks 23-26). Block 27 must be left blank, Block 28 requires a checked applicable answer followed by initials, Block 29 must be initialed, and Block 30 requires a handwritten signature and date, as digital signatures are not accepted. The document emphasizes that all instructions must be read thoroughly to ensure proper base access procedures are followed.
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READ INSTRUCTIONS THOROUGHLY TO ENSURE BASE ACCESS
-Visitors ages 18 and older who do not possess a current DOD CAC must submit a SECNAV 5512/1 form.
-Forms are valid for 90 days from the date they are vetted by Visitor Control.
Forms Will NOT be accepted if:
1. Blocks 28 and 29 are not initialed
2. Not signed
3. The SSN is left blank for US citizens or permanent residents (NRL requirement)
4. Forms are emailed directly to Visitor Control unencrypted Unless otherwise indicated, the following fields of the SECNAV 5512 form MUST be filled in:
Block 1: Enter the Last Name.
Block 2: Enter the First Name.
Block 3: If applicable, enter the Middle Name.
Block 4: If applicable, check the box for Name Suffix.
Block 5: Check the applicable box for Race.
Block 6: Check the applicable box for Gender.
Block 7: Enter Date of Birth.
Block 8: Enter City of Birth.
Block 9: Enter State of Birth.
Block 10: Enter Country of Birth.
Block 11: Check the applicable box for US Citizenship.
Block 12: Enter the name of the Country of Citizenship if citizen of another country.
Block 13: TWO forms of identity source documents from the list must be filled in.
-SSN must be one source for US citizens or permanent residents.
-Permanent residents must also include their alien registration information.
Block 14: Enter the Document Numbers located on the Identity Proofing Source document that were checked in Block 14.
Block 15: Enter the State that issued the Identity Source Document.
Block 16: Enter the Country that issued the Identity Source Document.
Block 17: Enter the Date that the Identity Source Document was issued.
Block 18: If applicable, enter the Date that the Identity Source Document will expire.
Block 19: Enter Weight in pounds.
Block 20: Enter Height in inches.
Block 21: Check the applicable box for Hair Color.
Block 22: Check the applicable box for Eye Color.
Block 23: Enter Home Address including City, State, and Zip Code. Enter Telephone Number.
A phone number MUST be provided.
Block 24: Enter sponsor name and phone number.
Block 25: Enter appropriate employer information. If not Employed enter: N/A.
Block 26: Enter appropriate supervisory information. If not Employed enter: N/A.
Block 27: Leave blank.
Block 28: Check the applicable answer.
PRINT FORM NOW
Block 28: Initial form.
Block 29: Initial form.
Block 30: Sign and date the form. Digital signatures are NOT accepted.
| SECNAV 5512-1 instructions2 |
| SECNAV 5512 for NRL |
| SECNAV 5512-1 instructions2 |
| SECNAV 5512 for NRL |
| ohsecnav5512 (002) |
File details come from the government source that posted it. Updated .