BASE Elizabeth City Visitor Request Form Blank.xlsx

This is a Base Elizabeth City Visitor Request Form, a security document used to facilitate controlled access to U.S. Coast Guard facilities at Base Elizabeth City, North Carolina. The form collects visitor information including name, date of birth, driver's license details, citizenship status, organization affiliation, purpose of visit, arrival and departure times, and sponsor information. Requests must be submitted no later than three working days prior to a visit, with foreign visitors requiring a minimum of thirty days advance notice. Completed forms must be sent to d05-smb-baseecityvisitors@uscg.mil and should be retained in a secure location due to personally identifiable information contained within. Denial of visitor access may occur if applicants fail to meet entry criteria outlined in BASEECITYINST 5512.1B or match denial criteria in the Defense Counterintelligence and Security Agency (DCMS) system.

The form provides contact information for Base Elizabeth City and tenant command security officers across multiple Coast Guard units located at the installation, including the Aviation Technical Training Center, Aviation Logistics Center, Air Station Elizabeth City, Boat Station Elizabeth City, and the Aviation Projects Acquisition Center. Questions or guidance regarding visitor access should be directed to the respective tenant command's security officer or the Base Coast Guard Police Department at (252) 335-6588. The form template itself contains no substantive contractual requirements but serves as an administrative prerequisite for individuals seeking to conduct site visits related to federal contract opportunities at the facility.