NF-0036.3-SEC-NBAFVisitorApplication (Required for Organized Site Visit).pdf

US

Citizen?

Office Spaces CUP

Bio-Compound (inside fence)

I request that an Extended NBAF pass be issued for the dates listed above (Note: min. 5 days but not to exceed one year).

NBAF FORM 36 (APR 2022) NF-SEC-0036.3-NBAFVisitorApplication

Phone:Job Title:NBAF Sponsor:

I accept full responsibility for informing the above listed Visitor(s) of the rules, regulations, and restrictions associated with their visit(s) to NBAF. I will provide escort for the visitor(s) during the visit(s). Note: Knowingly and willfully providing false information on this form may subject the requester to criminal penalties under 18 U.S.C. Section 1001 and/or 5 U.S.C. 552a (i)(3).

Company Phone Number:

Purpose of Visit:

Company Name:

Company Address:

The visitor(s) will be in the following area(s), check all that apply:

Transshipping Security SuiteVisitor Center

EIDF / IDF

NBAF Visitor Application

Request permission for the following to visit NBAF on: through:

Name Name Trace Complete (For Non-US citizens)

Country of Birth (If not US, provide proof of citizenship)

Arrival Time

Departure Time

**Sponsor must see IT prior to visitor's arrival if YES for Network connection

FOR SECURITY USE ONLY

NBAF Security Director or Deputy Security Director:

(Last, First MI)

Escort:

- Sponsor will provide Visitor(s) a NF 37 form

- Visitor will complete the NF 37, email it directly to Security, and inform their Sponsor it was sent

- Sponsor will then submit this NF 36 to Security

- Sponsors must request a Name Trace through their NBAF Agency Administrative Office

- Once received, Sponsor will submit the Name Trace Approval Verification along with this NF 36 to Security

Submit all completed forms to NBAFSecurity@usda.gov.

*Sponsor must ensure NF 39 Photography Permit Request is completed

NBAF Spons or signature & date:

Is visit mission related?

Using Photo/Video equipment (including cellphones)?

Using Laptop?

Card?

PIV

Network connection required?**

Non-Business Hours Access requested?

Photography Permit needed?*

This application must be submitted 3 business days prior to arrival of visitors and ALL fields must be completed.

For US Citizens, Non-federally employed Visitors must also submit a NBAF Form 37-Visitor Background Check *

* (NF 37 is not required for Federally employed visitors with an active PIV/CAC or equivalent)

(Approved Background checks are valid for up to one year - visitors returning within one year will not need to resubmit unless requested by Security)

For Non-US Citizens, a Name Trace must be approved prior to completion and submission of this NF 36

Other Areas:

Background Check Completed:

Reviewed and Approved by NBAF Visitor Center Administrator:

I understand and acknowledge the responsibility my employee is requesting in sponsoring the visitors listed above and approve this request.

Spons or's Supervisor signature & date:

Proposed Draft