NSA Northwest Annex Base Visit Request Template.docx
DOCX document 15 KB Posted
- Solicitation number
- N00189-13-R-Z065
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NSA Northwest Annex Base Visit Request Template - Registration form
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Text version
Date: DD MON YEAR
From: Company Security POC Name & Contact Info
To: Naval Support Activity Norfolk, Northwest Annex, Pass & ID Office
| Via: | Force Surveillance Support Center, Command Security Manager |
| NSA Norfolk, NW Annex, Base Security |
Subject: Visit Request for Employee Name of Company Name
| 1. NAME | SSN | DOB | U.S. Citizen | Status | Purpose | Classified | |
| Name | 123-45-6789 00/00/00 | Yes/No | CIV | Work | NO |
Employee Name is cleared for unclassified.
2. Employee Name is scheduled for meetings at Building 344 on 2 Dec 2013.
3. Contract Support is being provided under Solicitation #N00189-13-R-Z065.
Sincerely, Company Security POC Signature
FOUO – Privacy Sensitive. Any misuse or unauthorized disclosure may result in both civil and criminal penalties.
File details come from the government source that posted it. Updated .