BASE Elizabeth City Visitor Request Form.xlsx
XLSX spreadsheet 112 KB Posted
- Attached to
- DESIGN/BUILD CONSTRUCTION FOR CHILD DEVELOPMENT CENTER, USCG BASE ELIZABETH CITY, NORTH CAROLINA
- Solicitation number
- 70Z04726RPCNI0004
About this file
The document is a Visitor Request Form for Base Elizabeth City, a United States Coast Guard (USCG) facility. The form requires detailed personal information for base entry, including full name, date of birth, driver's license details, citizenship status, visit purpose, dates, and sponsorship information. Foreign visitors must submit requests at least 30 days prior to an official visit, and all visitor requests must be submitted a minimum of 3 working days before the visit date.
The related federal contract opportunity is a Design/Build Construction project for a Child Development Center at USCG Base Elizabeth City, North Carolina. The solicitation (Number 70Z04726RPCNI0004) is exclusively available to offerors on the current DHS/USCG National Multiple Award Construction Contract (NMACC III - Pool One). Potential contractors must be pre-qualified within this specific contract pool to be eligible to bid on the project. The opportunity is issued by the Department of Homeland Security's US Coast Guard agency.
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Text version
Sheet1
| Base Elizabeth City Visitor Request |
| For questions, contact your Command Security Officer or Base Coast Guard Police Dept. at (252) 335-6588. |
***All requests shall be submitted no later than 3 working days prior to visit.*** Reference BASEECITYINST 5512.1B for additional information and requirements.
LAST NAME FIRST NAME MIDDLE INITIAL SUFFIX DATE OF BIRTH DL STATE DL# CITIZENSHIP (US/FOREIGN)
| VISITOR ORGANIZATION: | |||
| PURPOSE OF VISIT: | |||
| PLACE OF VISIT: | |||
| ARRIVAL: | |||
| DEPARTURE: | |||
| SPONSOR'S NAME: | |||
| SPONSOR'S COMMAND/AFFILIATION: | Base FED | ||
| SPONSOR'S CONTACT INFORMATION | |||
| COMMENTS BELOW: | |||
| 07/07 - 07/11, 07/14 - 07/18, 07/21: Site Work | |||
| ***FOREIGN VISITORS MUST BE SUBMITTED NO LESS THAN THIRTY DAYS PRIOR TO AN OFFICIAL VISIT*** | |||
| For more information and/or guidance, contact your Tenant Command Security Officer | |||
| Base Elizabeth City and Tenant Command CSO's: | |||
| Base Elizabeth City: | MEC Kealiinohomoku, Brandonn | (252)335-6855 | |
| Aviation Technical Training Center (ATTC): | ASTC Linehan, Michael | (252)335-6917 | |
| Aviation Logistics Center (ALC): | Mr. Smith, Stephen | (252)384-7173 | |
| Air Station Elizabeth City: | OSC Brancaleone, Paul | (252)335-6761 | |
| Boat Station Elizabeth City: | BM1 Jordan, William | (252)335-6086 | |
| USCG Aviation Projects Acquisition Center (APAC): | LT Cortez, Miguel | (252)355-6279 | |
| ***ALL VISITOR REQUESTS SHALL BE SENT TO THE FOLLOWING EMAIL:*** | |||
| d05-smb-baseecityvisitors@uscg.mil | |||
| Instructions: Left click on the email address and an email will auto-populate. Once all fields are filled out in this visitor request, save to a safe place as this contains PII and attach this form to the email. Once you send off a visitor request you do not need to follow up, all visitor requests are monitored on a daily basis. If a member does not meet Base entry criteria as defined in BASEECITYINST 5512.1B and DCMS denial criteria, you will be contacted and the visitor request will be denied pending a follow up request. If you have any further questions please feel free to contact the CGPD. |
mailto:d05-smb-baseecityvisitors@uscg.mil image1.emf image2.emf image3.emf image4.emf image5.emf
File details come from the government source that posted it. Updated .