DISS Visit Request Form (002).pdf

This is a Defense Information System for Security (DISS) Visit Request form template used to request facility visits for personnel with security clearances. The form is applicable only for collateral security visits in DISS up to the SCI (Sensitive Compartmented Information) level; visits involving program/mission support under the SAP (Special Access Program) category require submission through associated classified security systems.

The form requires completion of several key sections: Hosting SMO code and Visit Location identify where the visit will occur, while Visit Details capture the visit name (maximum 20 characters), start and end dates, access level, reason for the visit, and optional notes. Point of Contact Information must include the name, phone number, and email of the person at the visit site coordinating or sponsoring the visit, typically a non-security personnel. The "Who Is Attending" section requires the submitter to list all personnel and verify that each attendee possesses the necessary security clearance. Important restrictions apply: the SMO may submit requests only for assigned military and government civilian personnel, while contractors must be submitted by their employing company. The form includes a critical notice that any person using an enabled medical device must have this pre-reported and approved by the Security Officer (SSO) or authorized security office, as this may constitute Protected Health Information (PHI).