Attachment 5 - CG Base Cape Cod Access Form.pdf

This is a JBCC (Joint Base Cape Cod) Event-Project Roster form for official use only, designed to facilitate background checks and access control for personnel attending events or projects at the facility.

The form requires submission to Access Control/Pass & ID 3-5 working days prior to arrival for background processing. All information must be typed and submitted electronically for tracking purposes. The roster collects participant data including last name, first name, middle initial, state/country code, driver's license or passport number, date of birth, Real ID reference, and access status. Key requirements include that as of May 7, 2025, all applicants must be Real ID compliant. All participants must agree to DCJIS (District of Columbia Justice Information System), NCIC (National Crime Information Center), and III (Interstate Identification Index) background checks. The form includes fields for event/project name, destination (with an example showing Cape Cod, MA), start and end dates, sponsor information, company point of contact, and NCIC approval status. The originating agency contact is listed as Brian O'Kane from USCG.mil (508-968-6993), and the form was last revised on 04/24/2025.