N0018919DQXXX_NSA_MECH_SPONSOR_vetting_request_worksheet.xlsx
XLSX spreadsheet 266 KB Posted
- Solicitation number
- N0018919DQXXX
About this file
This document contains an installation access request form and information on a related federal contract opportunity. The installation access request form collects visitor information such as name, date of birth, driver's license details, and sponsor details needed to request a day pass or longer term DBIDS access to the NSA Mechanicsburg facility. The related federal contract opportunity from the Naval Supply Systems Command seeks modifications to update this installation access request form, with the new form to be provided if a firm requires base access. Firms are asked to submit the completed form and screening request worksheet electronically via encrypted email to the listed NSA email address at least 14 days prior to the needed access start date. Re-vetting is also required a minimum of 14 days before any expiration dates to prevent delays in continuity of base entry.
N0018919DQXXX_NSA_MECH_SPONSOR_vetting_request_worksheet.xlsx
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Other files
| File | Type | Posted |
|---|---|---|
| N0018919DQXXX_PWS_NAVSUP_BSC_8A_Requirement.pdf | ||
| N0018919DQXXX_Visitor_Access_Form.docx | DOCX document | |
| N0018919DQXXX_BSC_Industry_Day_Flyer.pdf |
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Text version
NSA MECH visitor
| NSA Mechanicsburg Access Screening Request Form |
| Submit Form Electronically via Encrypted Email to: NSA_MECH_VIS_MSG@navy.mil |
| VISIT INFORMATION | VISITOR INFORMATION | SPONSOR INFORMATION | |
| Day Pass or DBIDS |
Berry, Julie A CIV CNI, N3AT: Berry, Julie A CIV CNI, N3AT:
Paper pass is issued for the duration of the visit but not to exceed 28 days. A 28 day pass may be issued every 28 days for periods less than 180 days. A new SECNAV 5512/1 form and this screening request form shall be submitted 14 days prior to receiving a new paper pass.
| DBIDS cards may be issued for periods of 180 to 365 days. Sponsors are responsible for ensuring visitors /contractors / vendors authorized to receive DBIDS cards are re-vetted at a minimum 14 days prior to expiration to prevent delays in continuity of base access. | Date Of Birth mm/dd/yyyy | Place of Birth City and State | Applicable only if Visitor is a Foreign National | If Visitor is a contractor, enter the company name. | REQUIRED | REQUIRED | REQUIRED | If Applicable | REQUIRED | |||||||||||||||||
| START DATE | EXPIRATION DATE | PASS TYPE | STATE DL | DL NUMBER | DRIVER LICENSE | SSN - LAST 4 | PASSPORT | L NAME | F NAME | MI | DOB | POB | SEX | RACE | CITIZENSHIP | VISA/PASSPORT | VISA/PASSPORT NO | COMPANY | PHONE NO | SPONSOR | SPONSOR COMMAND | SPONSOR PHONE NO | SPONSOR EXT | SPONSOR EMAIL | ||
| Mark Stumpo | FLC Norfolk Mech DET | 717-605-6459 | mark.stumpo@navy.mil |
File details come from the government source that posted it. Updated .