NUWC Visitor Request Form.pdf

NUWC NEWPORT DIVISION VISITOR REQUEST INFORMATION

• A visit request is MANDATORY for all visitors to NUWC Division Newport; government and civilian, regardless of the duration or classification of the visit. Access to NUWC Division Newport will not be granted under any circumstances without a valid visit authorization request (VAR) on file.

• If you can submit your VAR via DISS, you do not need to send a VAR on company letterhead.

• Due to the number of visit requests received, please allow 3-5 business days for processing time, whether received by DISS or on Company Letterhead via FAX or EMAIL.

• Visitors who arrive prior to the 3-5 working day processing window may not be guaranteed access.

• Please note, all individuals not in possession of a common access card (CAC) or Teslin Card (Retired Military/Dependent ID), will require a DBIDS card for unescorted access.

• No unescorted access will be granted without an ID mentioned above or without submitting a SECNAV form 5512/1 for a valid DBIDs card.

NUWCDIVNPT VISITOR REQUE

ST INFORMATION NEEDED:

**Information must be on Company Letterhead**

1) Company/Organization Name, Address, Telephone, and FAX Number

2) Cage Code

3) Visitor(s) Full Name (As it appears on government issued ID – i.e. Driver’s License)

4) Visitor(s) Full Social Security Number

5) Visitor(s) Date of Birth

a. If born outside the U.S, you MUST provide a Naturalization Number or US Passport

6) Visitor(s) Place of Birth (City & State)

7) Visitor(s) Citizenship

a. SCI Level Access MUST be coordinated SSO to SSO

8) Level of Clearance: UNCLASSIFIED or as appropriate

a. Please specify which visitor(s) have CAC, Retired Military/Dependent ID, DBIDS, or NOT APPLICABLE

9) Do they possess a CAC, Teslin or DBIDs Card? (Yes or No)

a. MUST be a NUWC Government Employee

10) NUWCDIVNPT Point of Contact (Sponsor)

11) Specific Date(s) of Visit, to include Year

12) Purpose of Visit

13) Contract Number, if applicable

a. If NO Contract Number is provided, then the visit will be for 30 days at the UNCLASSIFIED Level

14) Authorized Signature:

a. Name, Title, Signature, and Date of Requesting Company/Organization Authorizing Official (MUST be a US Citizen)

b. Smaller companies that do not have a Security Officer to sign may use another Official or Secretary.

c. Individuals MUST NOT Sign their own request

Submit Visitor Request(s) and/or SECNAV form(s) 5512/1 via:

JPAS/DISS SMO CODE: 666045 (If no access to DISS, use methods below)

EMAIL FORM TO: nuwc_npt_access_control@navy.mil

FAX FORM TO: (401) 832-4396

**ALL INCOMPLETE VISIT REQUESTS WILL BE DENIED**

Please call NUWC visitor control at (401) 832-2152 if you want to verify any visits or status on vetting.

https://safe.amrdec.army.mil/safe/ mailto:Keith.P.Arnold@navy.mil mailto:Deanna.L.Monell.ctr@navy.mil mailto:Gina.Fleming.ctr@navy.mil