Attach 5 -Base Access.pdf

WARFIGHTER ALWAYSWARFIGHTER ALWAYS

DEFENSE LOGISTICS AGENCY

DDTP

DEFENSE LOGISTICS AGENCY

DDTP

VISITOR GUIDE

11 HAP ARNOLD BLVD

TOBYHANNA, PA 18466

Mr. Andrew Beer 570-580-3394 (O) 814-389-2824 (C)

121 June 2023

DDTP

DEFENSE LOGISTICS AGENCY

DDTP

• Access Control - All visitors seeking access to Tobyhanna Army Depot need to bring valid government-issued photograph identification. Visitors wishing to drive onto the installation must have a valid driver’s license, current vehicle registration, and proof of vehicle insurance. Vehicles entering Tobyhanna Army Depot are subject to inspection at any time. Any visitor to the installation must enter through the Right Lane at the Main Gate to be processed by Security personnel at the Visitor Control Center. A map is attached.

• Contractor Information - Any unvetted visitor (non-CAC holder) wishing to enter Tobyhanna Army Depot is required to submit to a background check prior to entry. ELTY Form 648-C, Request for Access to Tobyhanna Army Depot, should be completed and submitted to their Tobyhanna point of contact. If the visitor does not have a Tobyhanna point of contact, he/she should submit the request to the following e-mail address: DDTP.Visitors@dla.mil no later than FIVE business days prior to visiting Tobyhanna Army Depot. Visitors who have not completed the mandatory background check will be denied access.

• Restricted & Classified Area Visits - All visitors to Restricted and Classified Areas must have Visit Requests submitted via DISS to SMO Code: KN00006 at least 5 duty days prior to visiting. Visitors will be escorted by an escort official (usually the visit POC but shall not be DDTP Security).

• Hours of Operation - Normal operating hours for Tobyhanna Army Depot are Monday through Friday, 7:00 AM to 4:00 PM. For hours or events on weekends, holidays and regular days of closure, contact the Protocol Office for a schedule of operations.

• Internet Information - Tobyhanna will connect any Army-issued laptop to the internet. Call your Tobyhanna point of contact prior to your visit so that he/she can set up an appointment with Information Management personnel to have your laptop scanned and connected.

Attached Forms- Please see the attached forms (paperclip symbol the left). All forms referenced in this guide are attached - complete all required to you according to this guide.

DTD0067

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DDTP

DEFENSE LOGISTICS AGENCY

DDTP

• Safety Info –Closed toe/heel shoes are required in all mission work areas. Safety shoes, safety glasses or other protective equipment may be required in other work areas.

Contact the Protocol Office for additional information.

• Personal Cell Phones/Other Personal Electronic Devices (PED)/Cameras and Video

• The use of personal cellular phones is limited to certain areas within the installation in order to prevent interference with the depot’s electronics maintenance mission.

Acceptable locations include cafeterias and exterior locations not adjacent to functioning electronics equipment. Furthermore, individuals with cellular phones with integrated digital cameras with either still or video capabilities are prohibited from taking photographs without an approved camera pass. At no time shall cell phone or other PEDs be taken into a Restricted and/or Classified Area.

• Driver Distractions. Vehicle operators and operators of Government owned vehicles shall not use cell phones unless the vehicle is safely parked or unless they are using a hands-free device. The wearing of any other portable headphones, earphones, or other listening devices (except for hand-free cellular phones) while operating a motor vehicle is prohibited. Use of those devices impairs driving and masks or prevents recognition of emergency signals, alarms, announcements, the approach of vehicles, and human speech.

• Cameras/Video–PEDs are permitted on-post. However, photographs/videos may not be taken without a permit issued by the Security Division.

• Prohibited Items:

• 1.All firearms and weapons.

• 2.All personal protection items such as stun guns, mace, tear gas, etc.

• 3.Explosives in any manner or form or parts of.

• 4.Drugs and drug paraphernalia.

• 5.All personal electronic radio equipment not approved by the FCC.

DDTP

DEFENSE LOGISTICS AGENCY

DDTP

Visitor Control Center

DDTP

DEFENSE LOGISTICS AGENCY

DDTP

INSTRUCTIONS FOR DLA VISITORS TO TOBYHANNA ARMY DEPOT

DDTP Visitor Request Form: Please complete ELECTRONICALLY and return ASAP. This request is specific for DLA Distribution Tobyhanna PA (DDTP).

ELTY 908 (with sample): Please complete ELECTRONICALLY and return ASAP. This Request is required to enter the Tobyhanna Army Depot controlled area where DDTP resides.

Vehicle passes:

a. GOV are permitted access into the controlled industrial complex without any additional measures

b. POV require current vehicle registration, proof of insurance, and current vehicle inspection, where applicable.

c. Rental vehicles-present rental paperwork at TYAD Visitor Control Center during visitor in-processing.

d. Please see the attached allocated parking area map for reference.

ELTY 648C to be completed ELECTRONICALLY by all non-government employees who do not have CAC access. Return to the DLA Security office ASAP-this is required for access onto the installation.

DLA Safety and Security briefing slides as a read ahead. If your team requires access to DLA warehouses, a safety/security briefing is required and facilitated by DDTP Safety and Security.

Please ensure that all team members wear safety approved footwear if access to warehouses is required.

We are currently undergoing renovations to some of our warehouses, please stay within the allocated safe zones or hard hat and other PPE will be required.

DDTP

Safety Briefing

WARFIGHTER FIRST - PEOPLE & CULTURE - STRATEGIC ENGAGEMENT - FINANCIAL STEWARDSHIP - PROCESS EXCELLENCE

Compliance with safety and environmental regs:

OSHA

Department of Defense (DoD)

Department of Army

Tobyhanna Army Depot (TYAD)

Defense Logistics Agency (DLA)

Worker’s Rights-reporting accidents, unsafe conditions, etc

Safety

WARFIGHTER FIRST - PEOPLE & CULTURE - STRATEGIC ENGAGEMENT - FINANCIAL STEWARDSHIP - PROCESS EXCELLENCE

Military industrial environment- Material Handling Equipment, material movement continually throughout the operational areas.

Maintain situational awareness of moving equipment, slips, trips, falls, and other operational hazards.

Workforce situational awareness of contractor activities-make sure they know you are there where both on ground and when working above.

Safety

WARFIGHTER FIRST - PEOPLE & CULTURE - STRATEGIC ENGAGEMENT - FINANCIAL STEWARDSHIP - PROCESS EXCELLENCE

Approved safety footwear or DLA escorts at all times.

Maintenance, repair, or construction functions- OSHA regulations related to the activity:

PPE

Operating equipment and machinery in a safe manner.

Obtaining the required hot work permits

Any PPE, tools, equipment, or machinery used in performance of work is subject to inspection and approval.

Personal Protective Equipment (PPE)

WARFIGHTER FIRST - PEOPLE & CULTURE - STRATEGIC ENGAGEMENT - FINANCIAL STEWARDSHIP - PROCESS EXCELLENCE

Speed limit is 3 mph inside buildings

Pedestrians have the right of way

Always wear seat belt!

Forklift & Industrial Operations

WARFIGHTER FIRST - PEOPLE & CULTURE - STRATEGIC ENGAGEMENT - FINANCIAL STEWARDSHIP - PROCESS EXCELLENCE

Sound horn

Moving between bays

Before entering a building

If going around a blind corner

If your horn does not work on your forklift, then the forklift cannot be used

Horn Usage

WARFIGHTER FIRST - PEOPLE & CULTURE - STRATEGIC ENGAGEMENT - FINANCIAL STEWARDSHIP - PROCESS EXCELLENCE

Keep forks as low as possible

4 to 6 inches on normal surfaces

Adjust height to a safe level on uneven surfaces

Reduce speed when necessary

Forklift

WARFIGHTER FIRST - PEOPLE & CULTURE - STRATEGIC ENGAGEMENT - FINANCIAL STEWARDSHIP - PROCESS EXCELLENCE

NO combustible engines are allowed indoors

No vehicles are allowed inside of our warehouses, with the exception of BLDG 55

Gasoline operated tools, such as cutting saws are prohibited indoors

Hot work permits are required when cutting/grinding/brazing – TYAD FD

Air Quality

WARFIGHTER FIRST - PEOPLE & CULTURE - STRATEGIC ENGAGEMENT - FINANCIAL STEWARDSHIP - PROCESS EXCELLENCE

Extension cords or power strips shall not be daisy chained together

Extension cords shall not be connected to power strips

All cords shall be kept out of foot traffic so they don’t become a tripping hazard

Electrical and extension cords shall be free from damage at all times, i.e. not frayed, spliced, or otherwise damaged

Electrical Safety

WARFIGHTER FIRST - PEOPLE & CULTURE - STRATEGIC ENGAGEMENT - FINANCIAL STEWARDSHIP - PROCESS EXCELLENCE

Electrical outlets shall not be overloaded

Electrical Safety cont.

WARFIGHTER FIRST - PEOPLE & CULTURE - STRATEGIC ENGAGEMENT - FINANCIAL STEWARDSHIP - PROCESS EXCELLENCE

Hazard zones must be clearly identified, and OSHA approved safeguards put into place to protect the workforce from operating in a hazard zone.

Safeguards include cones, tape, signage, etc..

Hazard Zones

WARFIGHTER FIRST - PEOPLE & CULTURE - STRATEGIC ENGAGEMENT - FINANCIAL STEWARDSHIP - PROCESS EXCELLENCE

Ladder Safety

Inspection

3 points of contact

Right ladder for the job

WARFIGHTER FIRST - PEOPLE & CULTURE - STRATEGIC ENGAGEMENT - FINANCIAL STEWARDSHIP - PROCESS EXCELLENCE

Incorrect

WARFIGHTER FIRST - PEOPLE & CULTURE - STRATEGIC ENGAGEMENT - FINANCIAL STEWARDSHIP - PROCESS EXCELLENCE

Use caution when working around

Unstable and not secured to floor

Stacking Frames

WARFIGHTER FIRST - PEOPLE & CULTURE - STRATEGIC ENGAGEMENT - FINANCIAL STEWARDSHIP - PROCESS EXCELLENCE

Prohibited activities RAD storage area:

Eating

Drinking

Chewing gum

Using tobacco products

Applying makeup

Pregnant women are advised that this area contains low level radiation sources.

Those entering will receive an additional briefing specific to this area.

****Wash hands when departing the building****

Building 7 Bay 6 RAD Storage

WARFIGHTER FIRST - PEOPLE & CULTURE - STRATEGIC ENGAGEMENT - FINANCIAL STEWARDSHIP - PROCESS EXCELLENCE

Police Up Your Area Everyday

WARFIGHTER FIRST - PEOPLE & CULTURE - STRATEGIC ENGAGEMENT - FINANCIAL STEWARDSHIP - PROCESS EXCELLENCE

SECURITY BRIEFING

DLA Distribution Tobyhanna, Pennsylvania

THE NATION’S COMBAT LOGISTICS SUPPORT AGENCY

WARFIGHTER FIRST

Security

TYAD Security: 570-615-7550

TYAD Fire: 911 or 570-615-7300

Note: If 911 is dialed from a cell phone it will be re-routed from Monroe County to the TYAD Fire Department/EMS.

Badges

We don’t need no badges…

Visitors

You should never allow someone into the building who does not have a valid badge or reason for being in the building.

If the individual requires access to the building, they must contact their POC in the building, the building manager or security office.

The POC is responsible for escorting the visitor for the entire duration of their visit.

Never allow someone access to the building unless you are taking responsibility for their actions during their visit.

Work Areas

The assets protected at DDTP is located in one of four types areas:

Restricted / Arms, Ammunition and Explosives

Controlled

General Purpose

Administrative

Each one of these types of areas have different security requirements based upon the type of materiel stored in that particular area.

Restricted Areas

THIS AREA HAS DLA DISTRIBUTION’S HIGHEST LEVEL OF SECURITY AND ALL SUSPICIOUS/IMPROPER ACTIVITY SHOULD BE REPORTED IMMEDIATELY!

An area in which there are special restrictive measures employed to prevent or minimize incursions and/or interference and where special security measures are employed to prevent unauthorized entry.

Requires NCS/ SECRET Security Clearance to work in area

AA&E areas require strict adherence to sign in/out procedures for all employees.

An area wherein sensitive resources, information or operations occur, and thus limited and controlled access is required.

These areas include, but are not limited to:

Fund Handling facilities

Electronic Security Systems (ESS) rooms

Pilferable storage materials (CIICs I, J, M, N, P, V, W, X, Y, Z as well as Bulk Q items)

Hazardous and Medical Supply storage centers

Controlled Areas

Controlled Areas

Restricted / Controlled Areas

Unauthorized Photo / Video

Questions

For any questions contact DDTP Security:

Mr. Andrew Beer

Andrew.Beer@dla.mil

Contacts

Steve Dupak, Facilities Manager

Steven.Dupak@dla.mil

(570) 580-3336

Andrew Beer, Security and Emergency Management:

Andrew.Beer@dla.mil

(570) 580-3394

Rich Schloendorn, Chief of Safety richard.schloendorn@dla.mil

(570) 580-3376

Jason Beavers, Safety Specialist jason.beavers@dla.mil

(570) 580-3314

Brad Kearney, Safety Specialist & Security bradley.kearney@dla.mil

(570) 202-0282 image1.png image6.jpeg image7.jpeg image8.jpeg image9.JPG image10.jpeg image11.jpeg image12.jpeg image13.jpg image14.jpg image15.jpg image16.png image17.JPG image18.png image19.png image20.gif image21.jpg image22.png image23.jpeg image24.png image25.jpeg image26.jpeg image27.jpeg image28.jpeg image29.jpeg image30.jpeg image31.jpeg image32.jpeg image33.jpeg image34.jpeg image35.jpeg image36.jpeg image37.jpeg image38.jpg image39.png image3.png image4.png image5.jpg

Visit Request Form for DLA Distribu�on Tobyhanna, PA Forms are required to be submited at a minimum of 15 days prior to desired visit date.

For stock tours, form must be submited at a minimum of 30 days prior to desired visit date.

Name of Reques�ng Organiza�ons(s): Organiza�on Address:

Please spell out acronyms. Street, City, State, Zip Code

Brief Summary of the Reques�ng Organiza�on’s Mission and Essen�al Func�ons:

Visit Date and Start Time Requested: Alternate Date/Time:

Due to workload requirements, all visits are subject to denial. Mondays, Fridays, and dates in conjunc�on with federal holidays are not available for visits.

Point of Contact for Reques�ng Organiza�on:

Name, Title/Rank, Phone number, Email, etc.

Is this your organiza�on’s first visit to DLA Distribu�on Tobyhanna? Yes No

Will this visit include contractors? Yes No If so, who is the contract between?

Specific Engagement Requirements Visit Type: If visit type was “Other”, please specify:

Purpose or Goal of Visit:

What loca�ons or subject mater is your organiza�on par�cularly Interested in seeing or discussing? A general tour/overview of Tobyhanna’s Distribu�on process includes a 30-minute walking tour. Closed toed shoes with no heel are required. Cell phones and Photography is prohibited.

Individual Visitor Informa�on Name, Rank/Title, & Organiza�on for ALL Visitors:

Be sure to include drivers if applicable.

Do all visitors have CACs? Yes No For any individuals who do not have CACs:

Provide Date of Birth, Place of Birth, Driver’s License Number, and State

Will Foreign Na�onals be in atendance? Yes No If foreign na�onals are atending, the visit must be submited at least 30 days in advance, through their embassy to DLA Foreign Clearance Division.

Total Number of Atendees:

Note: Tour groups can be no larger than 12 individuals for safety and efficiency purposes. Visits exceeding 12 individuals will be split into groups accordingly.

Are there any addi�onal details which may be useful for tour guides or presenters to know? If so, please provide.

This area is for Stock Inspec�on or Inventory Visit Informa�on Only What is the scope of the visit? How long is it expected to take?

No Please be as specific as possible and provide NSNs, Loca�on, etc.

Will you require a camera pass for this visit? Yes

What support do you need from DLA Distribu�on Tobyhanna ?

Beside someone to escort you to the loca�on of work, do you have any special requests or needs such as work area, bench tables, pallet jacks, etc?

mailto:DDSPVisits@dla.mil

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VISIT INFORMATION

Visitors' Company/Installation: (Please include the complete mailing address including city and state)

Time of Arrival:Preferred Date(s) of Visit:Visitors' Company/Installation Point of Contact:

Company/Installation Phone #:

TYAD AO Extension:TYAD Action Officer: Directorate/Div/Br:

Alternate Extension:Alternate TYAD Action Officer: Directorate/Div/Br:

Page 1 of 2ELTY FORM 908, Aug 20 V.01

VISITOR REQUEST

Use in accordance with TYAD Reg 360-2; Proponent office is ELTY-PA

THIS FORM WILL ONLY BE ACCEPTED BY THE PROTOCOL OFFICER IN ELECTRONIC FORMAT

Purpose for Visit: (BE SPECIFIC)

Previous editions are obsolete

THE FOLLOWING INDIVIDUAL(S) WILL VISIT THE DEPOT - LIST LEAD MEMBER FIRST

NAME

TITLE

(Mr., Mrs., Ms., Dr.)

POSITION

(Example: Director of Planning; Budget Analyst; VP of Operations) RANK/GRADE

Date Submitted:

Submitted By:

Phone #:

Director's Initials:

ALL ACRONYMS MUST BE SPELLED OUT ON FIRST REFERENCE.

Request must be processed through Protocol Officer. Protocol Officer will notify Tobyhanna Army Depot Security Division of visit.

Action Officer (AO): The AO is the designated individual within the host TYAD organization responsible for initial coordination with the visitor(s). The AO will submit the 908 form electronically to the Protocol Officer (PO) and will provide updates on the visit status, as required.

PROTOCOL REQUIREMENTS CHECKLIST

All ELTY 908 forms to be sent to the Protocol Officer usarmy.tobyhanna.usamc.list.list-908@mail.mil Is Exception to Policy (ETP) required? (Yes/No/NA). If yes, provide a copy to Protocol Officer with your Visitor Request Form

* Click hyperlink for latest travel restrictions by installation https://www.defense.gov/Explore/Spotlight/Cononavirus/Latest-DOD-Guidance Directorate Approval Required. Include with ELTY 908 Form Provide " Visitor Health Screening Checklist" and "Visitor Requirements" slide to all visitors.

https://intranet.tobyhanna.army.mil/Intranet/Apps/view.cfm?appID=5152

SECURITY REQUIREMENTS:

First time visitor without a CAC? If yes, provide ELTY 648C form, Depot Access Request (DAR). DAR forms and upload instructions can be accessed through the following link.

https://intranet.tobyhanna.army.mil/Intranet/Apps/view_items.cfm?MenuID=5059&CategoryID=29 Will you visit any secure areas or handle classified information/material?

- If yes, contact Personnel Security at X57735, or X57469.

For COMSEC Building 73 specifically, call X56823.

***SAFETY BRIEFING MANDATORY FOR ALL VISITS. BRIEFING CAN BE FOUND ON SAFETY INTRANET PAGE.*** mailto:usarmy.tobyhanna.usamc.list.list-908@mail.mil mailto:usarmy.tobyhanna.usamc.list.list-908@mail.mil https://www.defense.gov/Explore/Spotlight/Cononavirus/Latest-DOD-Guidance https://intranet.tobyhanna.army.mil/Intranet/Apps/view.cfm?appID=5152 https://intranet.tobyhanna.army.mil/Intranet/Apps/view_items.cfm?MenuID=5059&CategoryID=29

DAB0216

Page 2 of 2ELTY FORM 908, Aug 20 V.01

TOUR: Host organization will conduct tour and provide guides Request Protocol Officer to provide tour guides

N/A

TRANSPORTATION: Include number of individuals, times, start point, stop point and route. No more than 16 people per bus (including host).

COURTESY CALL WITH COMMAND GROUP: Include preferred date and time. Courtesy Call will be based on Command Group availability.

LUNCH RESERVATIONS: Include date/time/number of individuals.

CAMERA PASS: Photography MUST be approved by OPSEC Officer or PAO by email.

Make:

Model:

Owner:

Reason for photography:

Additional Remarks:

IS VISITOR A CURRENT DEPOT CUSTOMER?

(Feedback provided through Customer Surveys enables us to enhance TYADs service and support)

If YES, completing a Customer Satisfaction Survey is encouraged. Customer prefers:

Face-to-Face Interview (Depot POC should call Customer Focus Team, X58629, to schedule)

Complete hard copy survey, ELTY Form 6123 (available via the intranet, Electronic Forms or in Public Affairs Office)

CUSTOMER SURVEY

YES NO

Web-based survey at www.tobyhanna.army.mil under Customer Service link

SPECIAL REQUESTS

Does visitor require vehicle access to controlled area?

If YES, Requested Parking Location: Number of Vehicles:

CONFERENCE ROOMS: IDENTIFY LOCATION SCHEDULED(To be scheduled by Action Officer)

(To be scheduled by Action Officer)AV/PHOTO/GRAPHICS SUPPORT:

COMMAND PERSPECTIVES Date:

Time:

Location:

Presenter:N/A

SPECIAL ACCOMMODATIONS: (i.e.wheelchair, dietary, interpreter for deaf/hard of hearing, other)

V:\Forms\25 PUREEDGE FORMS - FINAL\908 Dec 2011.xfdl melanie.a.janosky

9.0.0.2.20120627.2.874785

VISIT INFORMATION

Visitors' Company/Installation: (Please include the complete mailing address including city and state)

Time of Arrival:

Preferred Date(s) of Visit:

Visitors' Company/Installation Point of Contact:

Company/Installation Phone #:

TYAD AO Extension:

TYAD Action Officer:

Directorate/Div/Br:

Alternate Extension:

Alternate TYAD Action Officer:

Directorate/Div/Br:

ELTY FORM 908, Aug 20 V.01

E L T Y FORM 9 0 8, august 20 version 1 Previous editions are obsolete

VISITOR REQUEST

VISITOR REQUEST

Use in accordance with TYAD Reg 360-2; Proponent office is ELTY-PA

Use in accordance with Tobyhanna army depot Regulation 3 6 0 - 2; Proponent office is E L T Y - P A

THIS FORM WILL ONLY BE ACCEPTED BY THE PROTOCOL OFFICER IN ELECTRONIC FORMAT

THIS FORM WILL ONLY BE ACCEPTED BY THE PROTOCOL OFFICER IN ELECTRONIC FORMAT.

Purpose for Visit: (BE SPECIFIC)

Previous editions are obsolete

THE FOLLOWING INDIVIDUAL(S) WILL VISIT THE DEPOT - LIST LEAD MEMBER FIRST

NAME

TITLE

(Mr., Mrs., Ms., Dr.)

POSITION

(Example: Director of Planning; Budget Analyst; VP of Operations)

RANK/GRADE

Date Submitted:

Submitted By:

Phone #:

Director's Initials:

ALL ACRONYMS MUST BE SPELLED OUT ON FIRST REFERENCE.

ALL ACRONYMS MUST BE SPELLED OUT ON FIRST REFERENCE.

Request must be processed through Protocol Officer. Protocol Officer will notify Tobyhanna Army Depot Security Division of visit.

Request must be processed through Protocol Officer. Protocol Officer will notify Tobyhanna Army Depot Security Division of visit.

Action Officer (AO): The AO is the designated individual within the host TYAD organization responsible for initial coordination with the visitor(s). The AO will submit the 908 form electronically to the Protocol Officer (PO) and will provide updates on the visit status, as required.

Action Officer: The Action Officer is the designated individual within the host T Y A D organization responsible for initial coordination with the visitor. The Action Officer will submit the 9 0 8 form electronically to the Protocol Officer and will provide updates on the visit status, as required.

PROTOCOL REQUIREMENTS CHECKLIST

All ELTY 908 forms to be sent to the Protocol Officer usarmy.tobyhanna.usamc.list.list-908@mail.mil

Is Exception to Policy (ETP) required? (Yes/No/NA). If yes, provide a copy to Protocol Officer with your Visitor Request Form

* Click hyperlink for latest travel restrictions by installation https://www.defense.gov/Explore/Spotlight/Cononavirus/Latest-DOD-Guidance

Directorate Approval Required. Include with ELTY 908 Form

Provide " Visitor Health Screening Checklist" and "Visitor Requirements" slide to all visitors.

https://intranet.tobyhanna.army.mil/Intranet/Apps/view.cfm?appID=5152

SECURITY REQUIREMENTS:

First time visitor without a CAC? If yes, provide ELTY 648C form, Depot Access Request (DAR). DAR forms and upload instructions can be accessed through the following link.

https://intranet.tobyhanna.army.mil/Intranet/Apps/view_items.cfm?MenuID=5059&CategoryID=29

Will you visit any secure areas or handle classified information/material?

- If yes, contact Personnel Security at X57735, or X57469.

For COMSEC Building 73 specifically, call X56823.

SELECT IF DIRECTORATE APPROVAL IS REQUIRED. INCLUDE IN LOCAL elty 908 FORM

***SAFETY BRIEFING MANDATORY FOR ALL VISITS. BRIEFING CAN BE FOUND ON SAFETY INTRANET PAGE.***

ELTY FORM 908, Aug 20 V.01

E L T Y FORM 9 0 8, august 2020 version 1

TOUR:

Host organization will conduct tour and provide guides

Request Protocol Officer to provide tour guides

N/A

TRANSPORTATION: Include number of individuals, times, start point, stop point and route. No more than 16 people per bus (including host).

N/A

COURTESY CALL WITH COMMAND GROUP: Include preferred date and time. Courtesy Call will be based on Command Group availability.

N/A

LUNCH RESERVATIONS: Include date/time/number of individuals.

N/A

CAMERA PASS:

Photography MUST be approved by OPSEC Officer or PAO by email.

Make:

Model:

N/A

Owner:

Reason for photography:

Additional Remarks:

IS VISITOR A CURRENT DEPOT CUSTOMER?

(Feedback provided through Customer Surveys enables us to enhance TYADs service and support)

If YES, completing a Customer Satisfaction Survey is encouraged. Customer prefers:

Face-to-Face Interview (Depot POC should call Customer Focus Team, X58629, to schedule)

Complete hard copy survey, ELTY Form 6123 (available via the intranet, Electronic Forms or in Public Affairs Office)

CUSTOMER SURVEY

YES

NO

Web-based survey at www.tobyhanna.army.mil under Customer Service link

SPECIAL REQUESTS

Does visitor require vehicle access to controlled area?

If YES, Requested Parking Location:

Number of Vehicles:

YES

NO

CONFERENCE ROOMS:

IDENTIFY LOCATION SCHEDULED

(To be scheduled by Action Officer)

N/A

(To be scheduled by Action Officer)

AV/PHOTO/GRAPHICS SUPPORT:

N/A

COMMAND PERSPECTIVES

Date:

Time:

Location:

Presenter:

N/A

SPECIAL ACCOMMODATIONS: (i.e.wheelchair, dietary, interpreter for deaf/hard of hearing, other)

N/A tfVisitorsComp:

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Application Date Areas of TYAD to be Visited

1 of 2ELTY FORM 648-C, JULY 2018 v.01

Request for Access to Tobyhanna Army Depot Use in accordance with " Directive Type Memorandum (DTM)" 09-012 " Interim Policy Guidance for DoD Physical Access Control" dated 22 Apr 14

PRIVACY ACT STATEMENT

AUTHORITY: Title 10 United States Code, Section 3013

PRINCIPAL PURPOSE(S): In conjunction with "Directive Type Memorandum (DTM)" 09-012 "Interim Policy Guidance for DoD Physical Access Control", dated 22 Apr 14, this form is intended to ensure that force protection measures are implemented for all non-DoD - credentialed personnel who request access to the installation.

ROUTINE USES: To control and maintain force protection requirements.

DISCLOSURES: Voluntary civilian. Failure to provide information deemed "mandatory" may result in a processing delay of your request for access or a denial of your request.

Date of Anticipated Visit or Yellow Contractor Badge Expiration Date

Reason for Request for Criminal History Background Check

Street Address

Home Telephone Number

First Name

City

Tobyhanna Federal Employee POC

Name Of Company (No Abbreviations)

Company POC Phone Number

This Area To Be Completed Only If You Are A Contractor or Vendor

Company Address

Proponent Office is ELTY-ISR-S

Last Name

Sex

Middle Name

Other Names Used

Zip Code

Race Country Place of Birth

Date of Birth: Social Security Number Driver's License State of Issuance Driver's License Number

Tobyhanna Federal Employee POC Phone Number

Tobyhanna Federal Employee POC Directorate

Tobyhanna Federal Employee Point of Contact E-mail Address

City Zip Code

Company POC Fax Number Company POC Email address

CRIMINAL HISTORY BACKGROUND CHECK RELEASE AND CONSENT

I hereby authorize the Tobyhanna Army Depot Security Branch to receive any criminal history/background information pertaining to me which may be in the files of any Federal, State or Local criminal justice agency/organization. I understand that a criminal history background check will be used to determine access to Tobyhanna Army Depot and that access to Tobyhanna Army Depot can be revoked at any time.

PLEASE TAKE NOTICE THAT ONE OR MORE CRIMINAL BACKGROUND REPORTS PURSUANT TO THE FAIR CREDIT REPORTING ACT, AS AMENDED, 15 U.S.C. 1681 ET SEQ, MAY BE OBTAINED FOR THE PURPOSES OF ACCESS TO TOBYHANNA ARMY DEPOT. SHOULD A DECISION TO DENY ACCESS BE MADE BASED EITHER IN PART OR IN WHOLE ON THAT REPORT, THE REPORTING AGENCY THAT PROVIDED THE INFORMATION PLAYED NO ROLE IN THE DECISION.

Information provided by you on this form will be furnished to Tobyhanna Army Depot's Security Branch to obtain information in connection with an investigation to determine access to Tobyhanna Army Depot. This information is collected for national security and force protection purposes. Use of this form does not relieve any contractor of any requirement to perform a criminal background check or drug test.

State

State Place of Birth

StateCompany POC

(If not born within the U.S.) Provide U.S. Passport, or Naturalization Certificate

Access to InstallationYellow Contractor Badge

Please check one of the following options

2 of 2ELTY FORM 648-C, JULY 2018 v.01

Please answer the following questions and report information truthfully; regardless of whether your case has been "sealed", expunged or otherwise stricken from the court record. The single exception to this requirement is certain convictions under the Federal Controlled Substances Act-cases for which the court has issued an expungement order under the authority of 21 U.S.C. 844 or 18 U.S.C. 3607.

If the answer is "yes" to any of these questions, please list the actual offense or violation (for example: theft, DUI, battery, etc).

1. Are you currently barred from ANY military installation?

If YES, for what offense (s)?

3. Have you ever been charged with or convicted of a felony?

If YES, list the offense, date and jurisdiction.

4. Have you ever been charged with or convicted of a firearms, weapons, or explosives offense?

5. Have you ever been charged with or convicted of any offense related to alcohol or drugs?

6. In the last 7 years, have you been subject to a court martial or other disciplinary proceedings under the Uniform Code of Military Justice? (Include non-judical, Captains's mast, etc.) *If YES, list the offense, date and jurisdiction.

7. In the last 10 years, have you been arrested for, charged with, or convicted of any other offense not listed above? ( Include misdemeanors) Leave out traffic fines of less than $150 unless the violation was alcohol or drug related. If YES, list the offense, date and jurisdiction.

Name of Applicant (Print):_____________________________________

Signature:__________________________________

Date:__________________

APPLICANT CERTIFICATION

I certify that, to the best of my knowledge and belief, all of the information provided on this request for access to Tobyhanna Army Depot is true, correct, complete and made in good faith. I understand that false, fraudulent, or incomplete information may be grounds for the denial of my request or for the revocation of access to Tobyhanna Army Depot and may be punishable by fine or imprisonment. I understand that any information I provide may be investigated.

2. Have you ever been arrested for, charged with, or convicted of a sex offense? Are you a registered sex offender?

9. Are you a United States Citizen?

8. Are you currently on parole or probation? If YES, for what offense(s)?

Country of Citizenship Registration Number Expiration of your work permit

Offense date Jurisdiction

JurisdictionDateOffense

JurisdictionDate Offense

JurisdictionDateOffense

Date

If no, please list your country of citizenship, registration number, and the expiration date of your work permit.

D:\Users\melanie.a.janosky\Desktop\648-C Nov 11.xfdl melanie.a.janosky

A pplication Date

Areas of TYAD to be Visited

ELTY FORM 648-C, JULY 2018 v.01

Request for Access to Tobyhanna Army Depot

Request for Access to Tobyhanna Army Depot

Use in accordance with " Directive Type Memorandum (DTM)" 09-012 " Interim Policy Guidance for DoD Physical Access Control" dated 22 Apr 14

Use in accordance with " Directive Type Memorandum ( DTM )" 0 9 - 0 1 2 " Interim Policy Guidance for D o D Physical Access Control" dated 22 April 14

PRIVACY ACT STATEMENT

AUTHORITY: Title 10 United States Code, Section 3013

PRINCIPAL PURPOSE(S): In conjunction with "Directive Type Memorandum (DTM)" 09-012 "Interim Policy Guidance for DoD Physical Access Control", dated 22 Apr 14, this form is intended to ensure that force protection measures are implemented for all non-DoD - credentialed personnel who request access to the installation.

ROUTINE USES: To control and maintain force protection requirements.

DISCLOSURES: Voluntary civilian. Failure to provide information deemed "mandatory" may result in a processing delay of your request for access or a denial of your request.

Date of Anticipated Visit or Yellow Contractor Badge Expiration Date

Reason for Request for Criminal History Background Check

Street Address

Home Telephone Number

First Name

City

Tobyhanna Federal Employee POC

Name Of Company (No Abbreviations)

Company POC Phone Number

This Area To Be Completed Only If You Are A Contractor or Vendor

Company Address

Proponent Office is ELTY-ISR-S

Proponent Office is E L T Y - R K C

Last Name

Sex

Middle Name

Other Names Used

Zip Code

Race

Country Place of Birth

Date of Birth:

Social Security Number

Driver's License State of Issuance

Driver's License Number

Tobyhanna Federal Employee POC Phone Number

Tobyhanna Federal Employee POC Directorate

Tobyhanna Federal Employee Point of Contact E-mail Address

City

Zip Code

Company POC Fax Number

Company POC Email address

CRIMINAL HISTORY BACKGROUND CHECK RELEASE AND CONSENT

I hereby authorize the Tobyhanna Army Depot Security Branch to receive any criminal history/background information pertaining to me which may be in the files of any Federal, State or Local criminal justice agency/organization. I understand that a criminal history background check will be used to determine access to Tobyhanna Army Depot and that access to Tobyhanna Army Depot can be revoked at any time.

PLEASE TAKE NOTICE THAT ONE OR MORE CRIMINAL BACKGROUND REPORTS PURSUANT TO THE FAIR CREDIT

REPORTING ACT, AS AMENDED, 15 U.S.C. 1681 ET SEQ, MAY BE OBTAINED FOR THE PURPOSES OF ACCESS TO

TOBYHANNA ARMY DEPOT. SHOULD A DECISION TO DENY ACCESS BE MADE BASED EITHER IN PART OR IN WHOLE ON

THAT REPORT, THE REPORTING AGENCY THAT PROVIDED THE INFORMATION PLAYED NO ROLE IN THE DECISION.

Information provided by you on this form will be furnished to Tobyhanna Army Depot's Security Branch to obtain information in connection with an investigation to determine access to Tobyhanna Army Depot. This information is collected for national security and force protection purposes. Use of this form does not relieve any contractor of any requirement to perform a criminal background check or drug test.

State

State Place of Birth

State

Company POC

(If not born within the U.S.) Provide U.S. Passport, or Naturalization Certificate

Access to Installation

Yellow Contractor Badge

Please check one of the following options

ELTY FORM 648-C, JULY 2018 v.01

Please answer the following questions and report information truthfully; regardless of whether your case has been

"sealed", expunged or otherwise stricken from the court record. The single exception to this requirement is certain convictions under the Federal Controlled Substances Act-cases for which the court has issued an expungement order under the authority of 21 U.S.C. 844 or 18 U.S.C. 3607.

If the answer is "yes" to any of these questions, please list the actual offense or violation (for example: theft, DUI, battery, etc).

1. Are you currently barred from ANY military installation?

If YES, for what offense (s)?

YES

NO

3. Have you ever been charged with or convicted of a felony?

If YES, list the offense, date and jurisdiction.

4. Have you ever been charged with or convicted of a firearms, weapons, or explosives offense?

If YES, list the offense, date and jurisdiction.

5. Have you ever been charged with or convicted of any offense related to alcohol or drugs?

If YES, list the offense, date and jurisdiction.

6. In the last 7 years, have you been subject to a court martial or other disciplinary proceedings under the Uniform Code of

Military Justice? (Include non-judical, Captains's mast, etc.) *If YES, list the offense, date and jurisdiction.

7. In the last 10 years, have you been arrested for, charged with, or convicted of any other offense not listed above? ( Include misdemeanors) Leave out traffic fines of less than $150 unless the violation was alcohol or drug related. If YES, list the offense, date and jurisdiction.

Name of Applicant (Print):_____________________________________

Signature:__________________________________

Date:__________________

APPLICANT CERTIFICATION

I certify that, to the best of my knowledge and belief, all of the information provided on this request for access to Tobyhanna

Army Depot is true, correct, complete and made in good faith. I understand that false, fraudulent, or incomplete information may be grounds for the denial of my request or for the revocation of access to Tobyhanna Army Depot and may be punishable by fine or imprisonment. I understand that any information I provide may be investigated.

2. Have you ever been arrested for, charged with, or convicted of a sex offense? Are you a registered sex offender?

If YES, list the offense, date and jurisdiction.

9. Are you a United States Citizen?

8. Are you currently on parole or probation? If YES, for what offense(s)?

Country of Citizenship

Registration Number

Expiration of your work permit

Offense date

Jurisdiction

Jurisdiction

Date

Offense

Jurisdiction

Date

Offense

Jurisdiction

Date

Offense

Jurisdiction

Date

Offense

Jurisdiction

Date

Offense

Date

If no, please list your country of citizenship, registration number, and the expiration date of your work permit.

sheena.cummings@dla.mil / andrew.beer@dla.mil

Drivers_License_Number:

TYAD_Point_of_Contact: Sheena Cummings

DropDownList2: Inside Controlled Area

Contractor_POC_Business_Name:

TextField1:

TextField2:

DropDownList1:

Directorate_Drop_Down_List: 27

NextPage:

Badge: 1

Access: 0

DropDownList1-1:

_1__Are_you_currently_barred_from_ANY_military_installation_If_YES_for_what_offense_s:

Signature:

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YELLOW

ORANGE

LIGHT GREEN

BROWN

TEAL

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RED

DARK GREEN

PURPLE

MAGENTA

SILVER

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23 242

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Legend

PARKING LOTS

UNDEFINED

Feature Name

BLUE

BROWN

DARK GREEN

LIGHT GREEN

MAGENTA

ORANGE

PURPLE

RED

SILVER

TEAL

YELLOW

re: Carly Costanzo Orthophoto source: Army IGI&S 2010 TYAD CAD-GIS Office: 570-615-7037

Path: T:\Apps\GIS\DATA\GIS_Layers\Security\parkinglotsplan2014.mxd Date Saved: 8/6/2014 11:39:12 AM

It’s the law.

Passed by Congress in 2005, the REAL ID Act enacted the 9/11 Commission’s recommendation that the federal government “set standards for the issuance of sources of identification, such as driver’s licenses.” The Act established minimum security standards for state-issued driver’s licenses and identification cards and prohibits federal agencies, like TSA, from accepting for official purposes licenses and identification cards from states that do not meet these standards.

Check for the star.

Beginning October 1, 2021, every air traveler 18 years of age and older will need a REAL ID-compliant driver’s license or another acceptable form of ID to fly within the United States. REAL ID-compliant cards are generally marked with a star located in the upper portion of the card. If you’re not sure, contact your state driver’s license agency on how to obtain a REAL ID-compliant card.

FA

CT

SH

EE

T

Learn about flying with a REAL ID at tsa.gov/real-id

REAL ID

Gold star

Star cutout in gold circle

Star cutout in black circle

Star cutout in gold grizzly bear

Black star

Generally, a star indicates it’s a REAL ID

Examples

IDs that fly.

Acceptable forms of ID for air travel include:

• REAL ID driver’s license or other REAL ID-compliant state photo identity card issued by Department of Motor Vehicles (or equivalent)

• U.S. passport

• U.S. passport card

• DHS trusted traveler card (Global Entry, NEXUS, SENTRI, FAST)

• U.S. Department of Defense ID, including IDs issued to dependents

• Permanent resident card

• Border crossing card

• DHS-designated enhanced driver’s license

• Federally recognized, tribal-issued photo ID

• HSPD-12 PIV card

• Foreign government-issued passport

• Canadian provincial driver’s license or Indian and Northern Affairs Canada card

• Transportation worker identification credential (TWIC®)

• U.S. Citizenship and Immigration Services Employment Authorization Card (I-766)

• U.S. Merchant Mariner Credential

Get the REAL ID toolkit.

Download and print your REAL ID information materials at tsa.gov/real-id

Contact Us

Learn about flying with a REAL ID at tsa.gov/real-id

Email You can request information at

TSA-ContactCenter@ tsa.dhs.gov

Call 1-866-289-9673 Federal Relay 711

Automated information is available anytime in several languages. Representatives are available 8 a.m. to 11 p.m. ET weekdays;

9 a.m. to 8 p.m.

weekends/holidays.

When do I need to get a REAL ID?

Beginning October 1, 2021, you will need have a REAL ID-compliant driver’s license or another acceptable form of ID, such as a valid passport or U.S. military ID, to fly within the U.S.

How do I get a REAL ID?

Check with your state driver’s license agency. You will need to go in person to present documentation to verify who you are and where you live in order to get your REAL ID.

@AskTSA #Check4TheStar

Questions? Comments?

Contact us on Twitter or

Facebook Messenger for live assistance from 8 a.m. to 10 p.m. ET weekdays; 9 a.m. to 7 p.m. weekends/holidays.