Attachment G - Expected Visitor Form.docx
DOCX document 23 KB Posted
- Solicitation number
- N4008024R2228
About this file
This document is an Expected Visitor Form that can be used to submit visitor information for access to restricted areas at the Naval Support Facility in Indian Head, Maryland. The form requires details such as the visitor's name, citizenship, company representation, building/restricted area to be accessed, and confirmation of security vetting completion. This form is related to a federal contract opportunity for the renovation of Building 164 at the Naval Support Facility, Indian Head, MD. The solicitation number is N4008024R2228, and the contract is set aside for small business MACC contract holders. The solicitation and all related documents are available on SAM.gov.
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Text version
ATTACHMENT E
EXPECTED VISITOR(S)
Can Only Be Submitted By Authorized Personnel To either: DAHLGREN: PassID.NSASP-DLGR.fcm@navy.mil OR INDIAN HEAD: PassID.NSASP-INHD.fcm@navy.mil
General Information (POC provide this form to Person Authorized by your command to submit it)
MARK ONLY ONE
Persons without one of the following, MUST fill out Vetting Form SECNAV 5512/1 Form
Date(s) of Visit Visitor Last Name Visitor First Name & Middle Initial
| Citizen-ship |
| Representing Company |
| Visit Bldg. # |
| Restricted Area / Admin Area |
CAC
In
JPAS
GOV
PIV
Date vetting completed
5/21/2024
| Bldg 164 |
| Restricted |
POC
POC Phone #
NSASP 5512/17V
Revision August 2020
File details come from the government source that posted it. Updated .