NonEmployee Access Request Forms (Form 9327).docx

NEWPORT NEWS SHIPBUILDING

NON-EMPLOYEE ACCESS COMPANY CERTIFICATION

ATTACHMENT A

INSTRUCTIONS:

1. Each visitor to Newport News Shipbuilding (NNS) must submit a Non-Employee Access Badge Request and a Non-Employee Access Company Certification (Attachment A) for approval to gain access to the facility.

2. A completed background check is required for all visitors (excluding government employees) who require unescorted access to the facility or who have previously been issued a By Escort Badge.

a. If adverse information is found in the background check conducted by HII’s preferred provider, prior approval for access must be obtained in writing by O15 Security.

3. All applicable fields must be filled in electronically. Fields with missing, incomplete, or handwritten information (excluding signature) will not be accepted.

4. Duration of visit request to NNS may not exceed whichever of the following comes first:

a. Two (2) years

b. The expiration date of the contract/purchase order

c. The expiration date of the visitor’s background investigation

5. The NN9327 must be submitted, encrypted or password protected, to the NNS sponsor.

6. The NNS sponsor will retain a copy of the Non-Employee Access Company Certification for 2 years from the date of the visit and is subject to audit by O15 Security.

7. The NNS sponsor will enter the information submitted on the Non-Employee Access Badge Request into the Visitor Management System (VMS). All Personally Identifiable Information (PII) will be protected in accordance with NNS policy while in use. The form will be properly destroyed after entry. No copies will be retained outside of visitor management systems controlled by O15 Security.

For additional information on background check requirements and visiting NNS, visit: https://supplier.huntingtoningalls.com/sourcing/AccessNNS.html

NEWPORT NEWS SHIPBUILDING

NON-EMPLOYEE ACCESS BADGE REQUEST

Access Center 210 39th Street Newport News, Virginia 23607 Normal Hours of Operation Monday – Friday 6:00 a.m. – 12:00 p.m., 12:30 p.m. to 4:00 p.m.

HUNTINGTON INGALLS INDUSTRIES PROPRIETARY

VISITOR INFORMATION

1. First Name:

2. Middle Initial:

3. Last Name:

4. Social Security Number (US Citizens Only):

5. Passport #:

(Foreign Nationals Only):

6. Choose Citizenship:

Choose Citizenship Status

7. Phone Number:

8. Email Address:

9. Zip Code:

10. Address

11. City:

12. State:

Choose an item.

13. Birth Date:

14. Birth City:

15. Birth State:

Choose an item.

VISIT DETAILS

ATTENTION NNS SPONSORS: The Newport News Shipbuilding Non-Employee Access Badge Request contains Personally Identifiable Information (PII) and must be protected in accordance with NNS policy while in use. NNS Sponsors are not authorized to retain a copy of this information after entry into VMS. NNS Sponsors are only authorized to retain a copy of the Non-Employee Access Company Certification (Attachment A) which is required for a period of 2 years.

NEWPORT NEWS SHIPBUILDING

NON-EMPLOYEE ACCESS BADGE REQUEST

Please complete all fields on this form and the Non-Employee Access Company Certification (Attachment A) and submit password protected or encrypted to the NNS Sponsor of the visit. Visitors must provide proof of a completed background investigation by Huntington Ingalls Industries’ approved provider along with proof of citizenship and identity at the Access Center prior to badging.

NN 9327 (Rev 20)

By signing this certification, I attest that the individual listed below is an employee in good standing with the company identified below. I further attest that all information contained on the Non-Employee Access Badge Request (NN 9327) and on any attachments is accurate. I understand that failure to immediately disclose any known adverse information involving this individual may result in expulsion from Newport News Shipbuilding.

VISITING COMPANY INFORMATION

1. Visiting Company/Agency Name:

2. Company Street Address:

3. City:

4. State:

Choose an item.

5. Zip Code:

6. Company POC Name:

7. Phone:

8. Email

9. Name of Company Officer:

10. Job Title:

VISITOR INFORMATION

NNS SPONSOR APPROVAL INFORMATION

24. Sponsor Approval Signature:

25. Date Signed:

Proof of background investigation completion for each visitor will need to be presented, along with proof of citizenship and identity, at the Access Center prior to badging. This form must be retained by the VMS user making entry for a period of 2 years from the date of visit and is subject to audit by department O15.

NN 9327 (Rev 20) For more information on background check requirements and visiting Newport News Shipbuilding, visit https://supplier.huntingtoningalls.com/sourcing/AccessNNS.html image1.png