BASE Elizabeth City Visitor Request Form Blank.xlsx
XLSX spreadsheet 107 KB Posted
- Solicitation number
- 70Z08126QELIZ0020
About this file
This file is a blank visitor request form template for USCG Base Elizabeth City. The form collects visitor information including name, date of birth, driver's license details, citizenship status, 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 visit, with foreign visitors requiring submission at least thirty days in advance. Completed forms should be sent to d05-smb-baseecityvisitors@uscg.mil with a copy saved securely due to personally identifiable information contained within. The form references BASEECITYINST 5512.1B for additional requirements and provides contact information for multiple tenant command security officers at Base Elizabeth City and affiliated commands including the Aviation Technical Training Center, Aviation Logistics Center, Air Station Elizabeth City, Boat Station Elizabeth City, and USCG Aviation Projects Acquisition Center.
The form serves as a requirement for the federal contract solicitation 70Z08126QELIZ0020 for HVAC unit replacement at Buildings 7 and 97 on the base. Prospective bidders planning to conduct site visits on August 13 at 1000 hours must complete this visitor access request form in accordance with base security policy and present valid identification. Contractors with military identification or RAPIDGate passes are exempt from completing the form. All site visits must be arranged with Michael Barclift a minimum of three days in advance via Michael.D.Barclift@uscg.mil.
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Text version
Sheet1
| Base Elizabeth City Visitor Request |
| For questions, contact your Command Security Officer or Base Coast Guard Police Dept. at (252) 335-6588. |
***All requests shall be submitted no later than 3 working days prior to visit.*** Reference BASEECITYINST 5512.1B for additional information and requirements.
LAST NAME FIRST NAME MIDDLE INITIAL SUFFIX DATE OF BIRTH DL STATE DL# CITIZENSHIP (US/FOREIGN)
| VISITOR ORGANIZATION: | |
| PURPOSE OF VISIT: | |
| PLACE OF VISIT: | |
| ARRIVAL: | |
| DEPARTURE: | |
| SPONSOR'S NAME: | LT Renee Gasper |
| SPONSOR'S COMMAND/AFFILIATION: | Base FED |
| SPONSOR'S CONTACT INFORMATION | Renee.E.Gasper@uscg.mil |
| COMMENTS BELOW: |
| ***FOREIGN VISITORS MUST BE SUBMITTED NO LESS THAN THIRTY DAYS PRIOR TO AN OFFICIAL VISIT*** | ||
| For more information and/or guidance, contact your Tenant Command Security Officer | ||
| Base Elizabeth City and Tenant Command CSO's: | ||
| Base Elizabeth City: | MEC Kealiinohomoku, Brandonn | (252)335-6855 |
| Aviation Technical Training Center (ATTC): | ASTC Linehan, Michael | (252)335-6917 |
| Aviation Logistics Center (ALC): | Mr. Smith, Stephen | (252)384-7173 |
| Air Station Elizabeth City: | OSC Brancaleone, Paul | (252)335-6761 |
| Boat Station Elizabeth City: | BM1 Jordan, William | (252)335-6086 |
| USCG Aviation Projects Acquisition Center (APAC): | LT Cortez, Miguel | (252)355-6279 |
| ***ALL VISITOR REQUESTS SHALL BE SENT TO THE FOLLOWING EMAIL:*** | ||
| d05-smb-baseecityvisitors@uscg.mil | ||
| Instructions: Left click on the email address and an email will auto-populate. Once all fields are filled out in this visitor request, save to a safe place as this contains PII and attach this form to the email. Once you send off a visitor request you do not need to follow up, all visitor requests are monitored on a daily basis. If a member does not meet Base entry criteria as defined in BASEECITYINST 5512.1B and DCMS denial criteria, you will be contacted and the visitor request will be denied pending a follow up request. If you have any further questions please feel free to contact the CGPD. |
mailto:d05-smb-baseecityvisitors@uscg.milmailto:Renee.E.Gasper@uscg.mil image1.emf image2.emf image3.emf image4.emf image5.emf
File details come from the government source that posted it. Updated .