Visitor Request Info Needed.docx

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 ON FILE. DUE TO THE NUMBER OF VISIT REQUESTS RECEIVED, ALONG WITH CURRENT VETTING REQUIREMENTS, SEVEN (7) DAYS PROCESSING TIME IS REQUIRED FOR ALL VISIT REQUESTS WHETHER RECEIVED BY JPAS OR BY FAX OR BY EMAIL. VISITORS WHO ARRIVE PRIOR TO THE SEVEN-DAY PROCESSING WINDOW WILL NOT BE GUARANTEED ACCESS. PLEASE NOTE, ALL INDIVIDUALS NOT IN POSSESSION OF A COMMON ACCESS CARD WILL REQUIRE A DBIDS CARD FOR ACCESS. NO UNESCORTED ACCESS WILL BE GRANTED WITHOUT A VALID DBIDS CARD. FOR DBIDS QUESTIONS, CONTACT NAVAL STATION PASS AND ID AT 401-841-3126. NUWC VISITOR CONTROL 401-832-2152

NUWCDIVNPT VISITOR REQUEST INFORMATION NEEDED:

***MUST BE ON COMPANY/COMMAND LETTERHEAD***

· COMPANY / ORGANIZATION NAME, COMPLETE ADDRESS, TELEPHONE AND FAX NUMBER

· VISITOR(S) FULL NAME(S) (As it appears on government issued ID – i.e. Driver’s License)

· VISITOR(S) FULL SOCIAL SECURITY NUMBER

· VISITOR(S) DATE OF BIRTH

· VISITOR(S) PLACE OF BIRTH (City & State)* *NOTE: IF BORN OUTSIDE THE U.S., YOU MUST PROVIDE A NATURALIZATION NUMBER OR PASSPORT NUMBER.

· VISITOR(S) CITIZENSHIP

· LEVEL OF CLEARANCE: UNCLASSIFIED OR AS APPROPRIATE*

*NOTE: SCI LEVEL ACCESS MUST BE COORDINATED SSO TO SSO

· DO THEY POSSESS A CAC OR DBIDS CARD? (Yes or No)*

*NOTE: PLEASE SPECIFY WHICH VISITOR(S) HAS A CAC, DBIDS, OR NOT APPLICABLE.

· VISITOR(S) EMAIL ADDRESS

· POINT OF CONTACT AT NUWCDIVNPT (MUST BE A GOVERNMENT NUWC EMPLOYEE)

· SPECIFIC DATE(S) OF VISIT, INCLUDING YEAR

· PURPOSE OF VISIT

· CONTRACT NUMBER: N/A OR AS APPROPRIATE*

*NOTE: IF NO CONTRACT NUMBER IS PROVIDED, THEN THE VISIT WILL BE 30 DAYS, UNCLASSIFIED.

· AUTHORIZED SIGNATURE: NAME, TITLE, AND SIGNATURE OF REQUESTING COMPANY/COMMAND AUTHORIZING OFFICIAL (MUST BE A US CITIZEN).* *NOTE: SMALLER COMPANIES THAT DO NOT HAVE A SECURITY OFFICER TO SIGN MAY USE ANOTHER OFFICIAL OR SECRETARY. INDIVIDUALS MUST NOT SIGN THEIR OWN REQUEST.

FAX FORM TO: (401) 832-4396 (ALL INCOMPLETE VISIT REQUESTS WILL BE DENIED)

OR

JPAS SMO CODE: 666045

OR

EMAIL FORM TO: PLEASE USE DoD SAFE https://safe.app.mil , BUT YOU MUST SEND TO ALL EMAIL ADDRESSES LISTED: Keith.P.Arnold@navy.mil; Deanna.L.Monell.ctr@navy.mil;and Gina.Fleming.ctr@navy.mil