One Day Pass Request.xlsx
XLSX spreadsheet 114 KB Posted
- Solicitation number
- HSCG85-12-Q-P30775
About this file
Base Access Request Form
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Amend 00001 HSCG85-12-Q-P30775.pdf | ||
| Solicitation For USCGC IDA LEWIS_WLM_551_DOCKSIDE.docx | DOCX document | |
| Crane Cert.pdf | ||
| NAVSTA Newport Pier Restriction.pdf | ||
| IDA LEWIS SPECIFICATION.pdf |
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Text version
Sheet1
| NAVAL STATION NEWPORT SECURITY DEPARTMENT | ||||||||
| PASS REQUEST | ||||||||
| REQUESTED BY: SUBMISSION DATE: | ||||||||
| EVENT/PURPOSE: Furniture Delivery to NSCS | ||||||||
| START/END DATE | SSN | LAST NAME | FIRST NAME | MIDDLE NAME | DOB | FACILITY | COMPANY | RESULTS |
AUTHORITY: Privacy Act of 1974 (5U.S.C. § 552(A)(7)), 10 U.S.C. §301, Department Regulation and Executive Order 9397.
| PURPOSE: To gather personal information and verify the identity of individuals requesting access to Department of Defense (DOD) installations. |
| ROUTINE USES: The information is used for the purpose set forth above and may be: |
| * Used to conduct a complete background check |
| * Forwarded to Federal, State, or local law enforcement agencies for their use, when determined necessary and |
| * Used as a basis for summaries, briefings, or responses to other agencies in the Executive Branch of the Federal Government. |
| DISCLOSURE: Voluntary, no adverse action can be taken against individuals for refusing to provide information about them. However, falsification of information or failure to provide all the requested information could lead to rejection of application. |
Sheet2
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