Foreign National Security Form.pdf
PDF 122 KB Posted
- Attached to
- Chickamauga Lock Replacement Approach Wall and Decommissioning Federal contract opportunity
- Solicitation number
- Not on record
About this file
This document outlines security procedures for foreign national site visits to Nashville District Corps of Engineers projects. It requires all non-U.S. citizens requesting site visits to complete a visit request form providing their full name, date of birth, citizenship, place of birth, and passport or visa information. They must also submit color copies of valid identity documents. Requests must be submitted to the project point of contact 30 days in advance for approval by the Nashville District Security Management Office and Headquarters U.S. Army Corps of Engineers on a case-by-case basis. Exceptions are limited. Contact information is provided for security office personnel to process inquiries and submissions.
The related federal contract opportunity involves replacement of the approach wall and decommissioning of Chickamauga Lock. No further details are given regarding response due dates, award amounts, set-asides, or incumbent contractors. The opportunity is listed as a special notice from the Department of the Army Corps of Engineers Engineering District Nashville but no solicitation number is provided.
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Text version
Feb 2019 Version
Nashville District Corps of Engineers Foreign National Site Visit Request Form
Foreign Nationals (FNs): All non-U.S. Citizens, including permanent residents wishing to request a site visit at a
Nashville District (LRN) project must be approved 30 days in advance. FNs requesting a site visit ( includes: pre-bid meeting) must complete a LRN FN Pre-Bid Meeting Request Form and submit any two (2) legible color copies of the following documents: Passport (unexpired or expired), Certificate of U.S. Citizenship (INS Form N-560 04 N-561), Certificate of Naturalization (INS Form N-550 or N-570), unexpired foreign Passport with I-551 stamp or attached INS
Form I-94 indicating unexpired employment authorization, an Alien Registration Receipt Card with photo (INS Form I-
151 or I-551), unexpired Temporary Resident Card (INS Form I-688), unexpired Employment Authorization Card (INS
Form I-688A), unexpired Reentry Permit (INS Form I-327), unexpired Refugee Travel Document (INS- Form I-571), or unexpired INS issued Employment Authorization Documentation that contains a photograph (INS Form I-688B).
Documents must not expire on or before visit. Submit requests to your LRN pre-bid/meeting POC, they will forwarded it to LRN Security Management Office (SM) mailbox (dll-celrn-sm@usace.army.mil) for approval. All documents must be received 30 days in advance of the site visit of pre-bid meeting. FN requests require approval from Headquarters U.S.
Army Corps of Engineers (HQUSACE). Exceptions will be considered on a case by case basis but will be limited.
Date of submission to LRN POC (mm/dd/yyyy) _______________________
Name of Site _______________________________ LRN Site POC _____________________________
Requestors FULL Name ______________________________________________________________
(Last, First Middle) If you have only initials in your name, use them and state (IO). If you have no middle name, enter “NMN” If you are a “Jr.,”Sr.,” “II,” etc., this must be indicated
Date of Birth (mm/dd/yyyy) _______________ Citizenship (Country) _________________________
Place of Birth (City/Town/Providence/County etc.) _________________________________________
Date(s) of Requested Site Visit (mm/dd/yyyy) ____________________________
Passport # (Include a scanned color copy) _________________________________________
VISA # (Include a scanned color copy) _____________________________________________ *Unless the country of citizenship participates in the VISA Waiver Program (VWP).
Nashville District Corps of Engineers Security Office Contact Information:
Tracy Dorrough, Personnel Security Specialist, 615-736-7397 email: tracy.dorrough@usace.army.mil John Carter, Security Specialist, 615-736-5567 email: john.j.carter@usace.army.mil Jay Klinger, Chief of Security, 615-736-2185 email: jason.j.klinger@usace.army.mil Fax Number: 615-736-7145
Mailing Address: USACE, Nashville
110 9th Ave S, Room A-450
ATTN: CELRN-SM
Nashville, TN 37203
PRIVACY ACT STATEMENT
AUTHORITY: Information is solicited pursuant to Title 10, U.S. Code, Section 3013 and E.O. 9397.
PRINCIPAL PURPOSE: To provide information necessary for preparation of a scheduled visit of the facility, verify positive identification of visitor(s), and conduct background checks for determinations of the eligibility of individuals for access to U.S. Army Corps of Engineers facilities.
ROUTINE USES: Used by the U.S. Army Corps of Engineers to accompany a request for a scheduled tour of the facility.
MANDATORY OR VOLUNTARY DISCLOSURE AND EFFECT OF NOT PROVIDING INFORMATION: Providing the solicited information, including Social Security Number, is voluntary; however, failure to provide information may result in a denial of visitor access due to an inability to verify identification. The information provided to the U.S. Army Corps of Engineers will not be retained digitally or by hard copy after the scheduled visit.
https://www.cbp.gov/travel/international-visitors/visa-waiver-program mailto:tracy.dorrough@usace.army.mil mailto:john.j.carter@usace.army.mil mailto:jason.j.klinger@usace.army.mil
| Name of Site: |
| Date of submitted mm/dd/yyyy: |
| Site POC: |
| Name (Last, First Middle): |
| Date of Birth mm/dd/yyyy: |
| Country of Citizenship: |
| Place of Birth (City, Town, Providence, or County etc: |
| ): |
| Requested dat of Visit mm/dd/yyyy: |
| Passport Number: |
| VISA Number: |
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