Attachment A_SECNAV 5512-1.pdf

This document is a Department of the Navy Local Population ID Card/Base Access Pass Registration form (SECNAV 5512/1) used for identity proofing and access control. The form collects comprehensive personal identification details including demographic information, work hours, prior felony convictions, and requires multiple forms of identity verification. Applicants must provide acceptable documents from Lists A, B, and C to establish identity and employment authorization, with strict requirements that all documents must be non-expired. The form includes authorization for background checks through federal agencies like the Federal Bureau of Investigation (FBI), Defense Security Service (DSS), and Department of Homeland Security (DHS), with warnings that false statements can result in fines and imprisonment up to five years. The final determination on physical access is made by the Base Commanding Officer, with additional screening performed through the National Crime Information Center (NCIC) and local records checks.