Attachment J - SECNAV 5512.pdf

This is a Department of the Navy Local Population ID Card/Base Access Pass Registration form (SECNAV 5512/1, revised May 2021) used to control physical access to Department of Defense installations and facilities. The form serves as the primary identity and access control document for designated contractors, Federal agencies, and foreign governments granted Navy official access.

The form collects comprehensive identity proofing and applicant information including name, race, gender, date of birth, citizenship status, and physical descriptors (height, weight, hair color, eye color). It requires documentation such as Social Security numbers, state ID/drivers licenses, passports, or alien registration numbers for U.S. citizens and foreign nationals respectively. The employment activity section captures employer name and address, supervisor information, work hours, and work days. The form includes sections for prior felony convictions and requires applicants to authorize background checks through multiple federal agencies including the FBI, Defense Security Service, and Department of Homeland Security. Applicants must certify under penalty of perjury that all information is true and complete. The final section, completed by Base Registrar personnel, documents identity verification results, NCIC and local records checks, pass issue and expiration dates, and results of background screening determinations. The form emphasizes that false statements are punishable by law with fines and imprisonment up to five years, and that the Base Commanding Officer retains final authority for access determinations.