BASE Elizabeth City Visitor Request Form Blank.xlsx

This file is a blank visitor request form template for Base Elizabeth City, a United States Coast Guard facility located at 1664 Weeksville Road, Elizabeth City, NC 27909. The form is designed to process visitor access requests in accordance with Base security policy (BASEECITYINST 5512.1B) and serves as a prerequisite for site visits and facility access. The form captures standard personal identification information including visitor name, date of birth, driver's license information, 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 with supporting documentation, and visitors must present valid Real ID, Passport, Military ID, or RAPIDGate pass upon arrival. The form contains contact information for multiple tenant command security officers and the Base Coast Guard Police Department at (252) 335-6588 for inquiries and guidance.

This template is directly referenced in the related federal solicitation 70Z08126QELIZ0018 for Inspection and Load Testing of Weight Handling Equipment at Base Elizabeth City, which requires all interested contractors and potential quoters to complete the visitor access request form and present valid identification when visiting the site. The solicitation specifies a mandatory site visit on August 11, 2026, at 1000 hours, with site visit arrangements to be coordinated through Michael Barclift with a minimum three-day advance notice. Contractors may be exempt from completing the access form if they possess a valid Military ID or RAPIDGate pass.