Attach 9 -DL1818 Visitor notification form.pdf

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DDAG Vertical Lift Module Preventative/Corrective Maintenance
Solicitation number
SP3300-25-Q-0019
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This is DLA Form 1818, a Visit Notification form used to control access to Department of Defense installations, buildings, and facilities, specifically for visits to the Defense Logistics Agency at 8725 John J. Kingman Road, Ft Belvoir, VA 22060-6220.

The form requires detailed information about visitors including names, grade/rank, SSN, date of birth, state/country of birth, and security clearance details. It contains three main sections: basic visit information (dates, purpose, point of contact), visitor details, and security representative authorization. The form operates under the authority of Section 21, 50 U.S.C. 781 and Executive Order 10450, with disclosure being voluntary but necessary for access approval. This appears to be a blank template form that would need to be completed by those seeking facility access.

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PRIVACY ACT STATEMENT

VISIT NOTIFICATION

1. ACTIVITY TO BE VISITED

AUTHORITY:

PRINCIPAL PURPOSE:

ROUTINE USES:

DISCLOSURE:DEFENSE LOGISTICS AGENCY

8725 JOHN J. KINGMAN ROAD

FT BELVOIR, VA 22060-6220

Section 21, 50 U.S.C. 781 et seq.; Executive Order 10450.

To control access to and movement on DoD installations, buildings, or facilities.

Used by General Services Administration Protective Service Personnel for access control and for any of the Blanket Routine Uses published by DLA.

Voluntary. However, failure to provide all the requested information may result in refusal to grant access to the installation, building, or facility.

DLA PRIVACY ACT SYSTEM NOTICE S500.50 DLA-I APPLIES

SECTION I

2. NAME OF REQUESTOR/PREPARER 4. TELEPHONE3. OFFICE CODE

5. DATE(S) OF VISIT 6. POINT OF CONTACT (at facility to be visited) 7. POC TELEPHONE

8. PURPOSE OF VISIT

SECTION II

9.

NAME(S) OF VISITOR(S)

(Last, First, MI)

10.

GRADE/RANK

11.

SSN

12.

DATE OF BIRTH

13.

STATE /COUNTRY OF

BIRTH

14.

CLEARANCE/DATE

GRANTED

15.

TYPE OF INVESTIGATION/

DATE

16. TYPED NAME OF SECURITY REPRESENTATIVE

SECTION III

18. ACTIVITY 19. TELEPHONE NUMBER 20. DATE17. SIGNATURE OF SECURITY REPRESENTATIVE

DLA FORM 1818, JUL 96 (EG)

FROM: TO:

PDF (DLA)

RequesterName:
OfficeCode:
FacPOC:
Phone:
POCPhone:
VisitedActivity:
VisitPurpose:
DateTo:
Visitor:
0:
1:
2:
3:
4:
5:
6:
7:
8:
GradeRank:
0:
1:
2:
3:
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5:
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7:
8:
SSN:
0:
1:
2:
3:
4:
5:
6:
7:
8:
DOB:
0:
1:
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3:
4:
5:
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8:
StateCountry:
0:
1:
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5:
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ClearDate:
0:
1:
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InvestDate:
0:
1:
2:
3:
4:
5:
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7:
8:
DateFrom:
SecRepName:
Activity:
ActPhone:
SecRepDate:
tVisitor:
0:
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tGradeRank:
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tSSN:
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tDOB:
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tStateCountry:
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tClearDate:
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tInvestDate:
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tcsControl:
addcsBtn:
ResetMe:
resetBtn:

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