Department of the Navy Local Population ID Card/Base Access Pass Registration Form (SECNAV 5512/1)

This document is a federal form used for registering individuals to obtain a Local Population Identification Card and Base Access Pass for Department of Defense installations controlled by the Department of the Navy or U.S. Marine Corps. The form is required for designated contractors, federal agencies, and foreign governments to gain physical access to Navy facilities and installations. The form collects comprehensive personal identifying information including name, date and place of birth, citizenship status, race, gender, height, weight, hair and eye color, home address, and contact information. Additionally, it requires documentation of employment activity information, supervisor details, work hours and days, and prior felony conviction history.

The form mandates authorization for the Department of Defense and state agencies to obtain information from the Federal Bureau of Investigation, Defense Security Service, and Department of Homeland Security. Applicants must acknowledge understanding of reinitiation requirements and vetting procedures including National Criminal Information Center checks and local records verification conducted by Base Registry personnel. The form includes declarations made under penalty of perjury regarding the accuracy and completeness of all statements, with false statements subject to fines and imprisonment up to five years. Final determination on access authorization rests with the Base Commanding Officer, and applicants are required to return the identification card upon expiration or employment termination. The form was last revised in May 2021.