BASE Elizabeth City Visitor Request Form Blank.xlsx

This file is a blank visitor request form for USCG Base Elizabeth City. The form is used by individuals seeking access to the base and requires submission of personal information including full name, date of birth, driver's license details, citizenship status, visitor organization, purpose of visit, arrival and departure dates, and sponsor information. All visitor requests must be submitted no later than three working days prior to the intended visit, with foreign visitors requiring submission at least thirty days in advance. Completed forms must be emailed to d05-smb-baseecityvisitors@uscg.mil and should be saved securely as the document contains personally identifiable information (PII). Visitors must present valid identification such as a Real ID, Passport, Military ID, or RAPIDGate pass upon arrival.

The form references BASEECITYINST 5512.1B for additional requirements and provides contact information for multiple tenant command security officers at Base Elizabeth City, including those for the Aviation Technical Training Center, Aviation Logistics Center, Air Station Elizabeth City, Boat Station Elizabeth City, and USCG Aviation Projects Acquisition Center. The form includes instructions that visitor requests are monitored daily and that denied requests will result in contact to explain denial reasons based on Base entry criteria and DCMS denial criteria. This template is directly relevant to the HVAC replacement solicitation (70Z08126QELIZ0015), as potential quoters arranging site visits to Building 366 on July 30, 2026, must complete this visitor access form and arrange access through LT Renee Gasper a minimum of three days in advance.