LD Transformer T-1 Rehabilitation Industry Day Request for Visitation Authority.docx

Libby Dam Transformer T-1 Rehabilitation Request for Visitation Authority (RVA) The information listed below is required for attendance. RVAs without this required information will be rejected.

1. US Citizen Biographical information:

Name:

US Citizen Driver’s License No. (include the state where issued):

Date of Birth:

Place of Birth:

Nationality (Country):

Company Name:

Job Title:

Phone Number:

Supervisor POC (Name & Phone Number):

Business Classification (e.g., Small Business, 8(a), Woman Owned Small Business, Service-Disabled Veteran Owned Small Business, and HUBZone):

Size Classification (i.e., relative to NAICS code 237130, PSC code J036) and Small Business Size Standard of $45M:

2. Non-US citizen Biographical Information

Biographical information (Last Name, First, Middle):

Passport No.:

Color copy of the passport biopage is required.

Date of birth:

Place of birth (City and Country):

Nationality:

Organization:

Title:

Phone Number:

Supervisor POC (Name & Phone Number):

Business Classification (e.g., Small Business, 8(a), Woman Owned Small Business, Service-Disabled Veteran Owned Small Business, and HUBZone):

Size Classification (i.e., relative to NAICS code 237130, PSC code J036) and Small Business Size Standard of $45M: