Attachment 9 - DL1818 Visitor Notification Form.pdf
PDF 130 KB Posted
- Attached to
- DDRV Vertical Lift Module Preventative/Corrective Maintenance Federal contract opportunity
- Solicitation number
- SP330025Q0030
- Issued by
- Defense Logistics Agency Distribution
About this file
This is DLA Form 1818, a Visit Notification form used to control access to and movement on DoD installations, buildings, and facilities. The form is specifically for visits to the Defense Logistics Agency located at 8725 John J. Kingman Road, Ft Belvoir, VA 22060-6220.
The form requires detailed visitor information including name, grade/rank, SSN, date of birth, state/country of birth, and security clearance details. It contains three main sections: Section I for basic visit information (activity, requestor, dates, point of contact), Section II for visitor details, and Section III for security representative authorization. The form operates under Section 21, 50 U.S.C. 781 and Executive Order 10450, with disclosure being voluntary but necessary for facility access. This appears to be a blank template that would need to be completed by visitors requiring access to DLA facilities.
View the file
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| Attachment 3 - Equipment List.pdf | ||
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Text version
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)
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