Atch_8_Personnel_Access_Listing.pdf

National Park Service Access Request Form

Contractor Personnel/Vehicle Listing

COVID Screening

Last_Name First_Name Middle_Name DOB SSN Citizenship Country Gender City of Residence

State of Residence

RDS Screening Required?

Y/N Company Name Phone # For

Driver # of Axles on

Vehicle Travel Outside US in

Past 30 Days?

Passport # for

Foreign Nationals Passport Issuing

Country

Data Fields

1. Last_Name: Use letters only (no numbers, spaces or special characters). Max characters is 20

2. First_Name: User letters only (no numbers, spaces or special characters). Max characters is 20

3. Middle_Name: Provide the full middle name. Use letters only (no numbers, spaces or special characters). Max characters is 20

4. DOB: DOB format is MM/DD/YYYY (no letters)

5. SSN: SSN is required for all U.S. Citizens over the age of 18. Foreign Nationals may leave the SSN blank. (no letters or special characters) Do not use any dashes in the SSN

6. Citizen: Select Y for YES or N for NO to indicate if the visitor is or is not a U.S. Citizen

7. Country: Country of Birth. Use the 'Countries' worksheet to find the Country Code for the Country of Birth for the visitor. You must use the country codes provided in the 'Countries' worksheet. Select the code from the worksheet.

8. Gender: Select M for Male or F for Female

9. City: City of Residence - For visitors who reside in the United States enter the primary city of residence. For visitors who reside outside of the United States enter the city where they are residing during their visit. (no numbers or special characters)

Personnel Vehicle Information Foreign National Information

10. State: State of Residence - For visitors who reside in the United States enter the primary state of residence. For visitors who reside outside of the United States enter the state where they are residing during their visit. Use the 'States' worksheet to locate the appropriate two-letter State Code. Select the code listed on worksheet.

Abbr Country

US UNITED STATES OF AMERICA

AF Afghanistan AA Albania AN Algeria YY All Others AD Andorra AO Angola AE Anguilla (dependent territory of United Kingdom) AI Antigua and Barbuda (formerly Antigua) AT Argentina AP Armenia AJ Aruba (now independent of Netherlands Antilles) AH Ashmore and Cartier Islands, Territory of (Australian external territory) AS Australia AU Austria AV Azerbaijan AQ Azores Islands BD Bahamas, The BE Bahrain BW Balearic Islands BL Bangladesh BB Barbados AI Barbuda, Antigua and (formerly Antigua) BF Bassas Da India (French possesion) BY Belarus BG Belgium BH Belize (formerly British Honduras) DH Benin (formerly Dahomey) BM Bermuda (dependent territory of United Kingdom) BN Bhutan BV Bolivia NX Bonaire (Netherlands Antilles) BP Bosnia and Herzegovina BT Botswana BQ Bouvet Island (Norwegian territory) BZ Brazil BH British Honduras (now Belize) BO British Indian Ocean Territory (dependent territory of United Kingdom) BS British Solomon Islands (now Solomon Islands) VB British Virgin Islands BX Brunei BU Bulgaria UV Burkina Faso (known as Burkina, formerly Upper Volta) BR Burma (also known as Myanmar) BI Burundi CV Cabo Verde (formerly Cape Verde)

CJ Cambodia (formerly Khmer Republic and Kampuchea) CM Cameroon CD Canada ZI Canary Islands CP Cayman Islands (Dependent territory of United Kingdom) CW Central African Republic CY Ceylon (now Sri Lanka) CF Chad CQ Chile, Republic of RC China - People's Republic of China HR Christmas Island, Territory of (Australian external territory) DB Clipperton Island (French possession) DD Cocos (Keeling) Islands, Territory of (Australian territory) CB Colombia, Republic of DG Comoros, Federal Islamic Republic of the RB Congo (or Republic of Congo) ZR Congo, Democratic Republic of (aka Congo-Kinshasa) DI Cook Islands DJ Coral Sea Islands, Territory of (Australian external territory) CR Costa Rica, Republic of IY Cote d'Ivoire, Republic of (Ivory Coast) KC Croatia CC Cuba, Republic of NX Curacao (Netherlands Antilles) CS Cyprus, Republic of EZ Czech Republic DH Dahomey (now Benin) ZR Democratic Republic of Congo (aka Congo-Kinshasa) DK Denmark, Kingdom of DN Djibouti, Republic of DM Dominica DR Dominican Republic PC Ducie Islands EU Ecuador EY Egypt (formerly United Arab Republic) EL El Salvador KB Ellice - Gilbert Islands (now Kiribati) TV Ellice Islands (now Tuvalu) EN England EK Equatorial Guinea ET Eritrea ES Estonia EO Ethiopia ER Europa Island (French possession) FA Falkland Islands, Colony of the (Islas Malvinas) FO Faroe Islands FJ Fiji

FD Finland FN France FG French Guiana (Department of Guiana) FP French Polynesia, Territory of (French overseas territory) FR French Southern and Antartic Lands, Territory of the (French overseas territory) GB Gabon GK Gambia, The GZ Gaza GD Georgia (formerly Gruzinskaya) GE Germany GG Ghana RG Gibraltar (dependent territory of United Kingdom) TV Gilbert - Ellice Islands (now Tuvalu) KB Gilbert Islands (now Kiribati) GO Glorioso Islands (French possession) GC Greece GN Greenland GJ Grenada GP Guadeloupe, Department of GT Guatemala GF Guernsey, Bailiwick of (British Crown dependency) FG Guiana, French GI Guinea PG Guinea-Bissau (formerly Portuguese Guinea) GY Guyana HT Haiti HE Heard Island and McDonald Islands, Territory of (Australian external territory) BP Herzegovina, Bosnia and VY Holy See (aka Vatican City) HD Honduras HK Hong Kong, Special Administrative Area of HU Hungary IC Iceland II India IO Indonesia IR Iran IQ Iraq IE Ireland (Does Not Include Northern Ireland) FA Islas Malvinas (Falkland Islands) IB Isle of Man IS Israel IT Italy (Includes Sicily and Sardinia) IY Ivory Coast (Cote d'Ivoire) JM Jamaica JN Jan Mayen (Norwegian territory) JA Japan JE Jersey, Bailiwich of (British Crown dependency)

JO Jordan JU Juan de Nova Island CJ Kampuchea (now Cambodia) KT Kazakhstan DD Keeling (Cocos) Islands (Australian dependency) KE Kenya CJ Khmer Republic (now Cambodia) KB Kiribati (formerly Gilbert Islands) KN Korea - North Korea KO Korea - South Korea KV Kosovo KU Kuwait KZ Kyrgyzstan NF Labrador (included in Newfoundland) LS Laos LT Latvia LN Lebanon LE Lesotho LB Liberia LY Libya LI Liechtenstein LH Lithuania LX Luxembourg OC Macao (now spelled Macau) OC Macau (formerly spelled Macao) ZD Macedonia MP Madagascar (formerly known as Malagasy Republic) IM Madeira Islands MP Malagasy Republic (now Madagascar) MF Malawi MZ Malaysia MV Maldives ML Mali MY Malta IB Man, Isle of (British Crown dependency) KH Manahiki Island MH Marshall Islands ZB Martinique MU Mauritania UM Mauritius YO Mayotte, Territorial Collectivity of HE McDonald Island and Heard Island MM Mexico FS Micronesia, Federated States of LD Moldova MJ Monaco MG Mongolia

XB Montenegro RR Montserrat (dependent territory of United Kingdom) MR Morelos MQ Morocco ZO Mozambique SJ Namibia NR Nauru NP Nepal NE Netherlands (Holland) NX Netherlands Antilles TS Nevis and Saint Christopher (Saint Kitts) NQ New Caledonia and Dependencies, Territory of (French overseas territory) NO New Guinea (now Papua New Guinea) HN New Hebrides (now Vanuatu) NZ New Zealand NU Nicaragua NN Niger NG Nigeria IU Niue OF Norfolk Island, Territory of (Australian external territory) KN North Korea NI Northern Ireland NW Norway OI Okinawa OM Oman PK Pakistan PD Palau, Republic of PM Panama NO Papua New Guinea (formerly New Guinea) PF Paracel Islands PV Paraguay RC Peoples Republic of China PU Peru PI Philippines PC Pitcairn, Henderson, Ducie, and Oeno Islands (dependent territory of United Kingdom) PO Poland FP Polynesia, French PT Portugal PG Portuguese Guinea (now Guinea-Bissau) QA Qatar RB Republic of Congo RY Republic of Yemen RE Reunion, Department of RH Rhodesia (now Zimbabwe) RU Romania/Rumania RA Russia RF Russian Federation

RW Rwanda TS Saint Christopher (or Saint Kitts) and Nevis HS Saint Helena (dependent territory of United Kingdom) TS Saint Kitts and Nevis AE Saint Kitts - Anguilla (now separate) TS Saint Kitts - Saint Christopher (or Saint Kitts) and Nevis LU Saint Lucia PS Saint Pierre and Miquelon, Territorial Collectivity of VV Saint Vincent and the Grenadines WS Samoa SH San Marino TP Sao Tome and Principe IT Sardinia (included in Italy) SB Saudi Arabia SS Scotland SG Senegal XA Serbia SE Seychelles IT Sicily (included in Italy) SA Sierra Leone/Sierre Leone II Sikkim (now code as India) SR Singapore LF Slovakia LO Slovenia RV Socialist Republic of Vietnam BS Solomon Islands (formerly British Solomon Islands) SM Somalia SF South Africa GS South Georgia and the South Sandwich Islands KO South Korea ZF South Sudan SP Spain RS Spanish Sahara (now Western Sahara) TE Spratly Islands CY Sri Lanka (formerly Ceylon) SU Sudan ZC Suriname SV Svalbard (Norwegian territory) SW Swaziland SQ Sweden SZ Switzerland SY Syria TW Taiwan TJ Tajikistan TZ Tanzania, United Republic of TH Thailand XX Timor-Leste

TO Togo TK Tokelau (New Zealand territory) TG Tonga TQ Tongareva TT Trinidad and Tobago TM Tromelin Island (French possession) TC Trucial States (now United Arab Emirates) TD Trust Territory of the Pacific Islands TF Tuamotu Archipelago TU Tunisia TY Turkey UR Turkmenistan TR Turks and Caicos Islands (dependent territory of United Kingdom) TV Tuvalu (formerly Ellice Islands) UG Uganda UK Ukraine TC United Arab Emirates (formerly Trucial States) EY United Arab Republic (now code as Egypt) UN United Kingdom US United States of America (USA) XX Unknown Country UV Upper Volta (now Burkina Faso) UY Uruguay UZ Uzbekistan, Republic of HN Vanuatu, Republic of (formerly Hebrides) VZ Venezuela, Republic of RV Vietnam, Socialist Republic of WL Wales WF Wallis and Futuna, Territory of the (French overseas territory) WB West Bank WN West Indies RS Western Sahara RY Yemen, Republic of ZM Zambia, Republic of RH Zimbabwe, Republic of (formerly Rhodesia)

Abbr. State AL Alabama AK Alaska AM American Samoa AZ Arizona AR Arkansas BK Baker Island CA California CZ Canal Zone CG Caroline Islands CO Colorado CT Connecticut DE Delaware DC District of Columbia FL Florida GA Georgia GM Guam HI Hawaii HO Howland Island ID Idaho IL Illinois IN Indiana IA Iowa JR Jarvis Island JI Johnston Island KS Kansas KY Kentucky KI Kingman Reef LA Louisiana ME Maine MK Mariana Islands MH MarshallIslands MD Maryland MA Massachusetts MI Michigan MW Midway Islands MN Minnesota MS Mississippi MO Missouri MT Montana VL Navassa Island NB Nebraska NV Nevada NH New Hampshire NJ New Jersey NM New Mexico NY New York

NC North Carolina ND North Dakota OH Ohio OK Oklahoma OR Oregon PL Palmyra Atoll PA Pennsylvania PR Puerto Rico RI Rhode Island SC South Carolina SD South Dakota TN Tennessee TX Texas UT Utah VT Vermont VI U.S. Virgin Islands VA Virginia WK Wake Island WA Washington WV West Virginia WI Wisconsin WY Wyoming