RFQ_Attachment_3_SECNAV_5512_INSTRUCTIONS.pdf
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- Solicitation number
- N6883627Q0007
About this file
This document is an instruction guide for completing the SECNAV 5512/1 visitor access form required for base entry by individuals 18 years and older without a current Department of Defense Common Access Card (CAC).
Forms are valid for 90 days from the date of vetting by Visitor Control and will be rejected if Blocks 28 and 29 are not initialed, the form is not signed, the Social Security Number is left blank for U.S. citizens or permanent residents (a Naval Research Laboratory requirement), or if forms are emailed unencrypted directly to Visitor Control. The instructions specify mandatory completion requirements for all 30 blocks of the form, including personal identification information (last name, first name, middle name, name suffix if applicable), demographic data (race, gender, date of birth, birthplace, citizenship status), identity source documentation (two required forms of identity with SSN required for U.S. citizens and permanent residents), physical descriptors (weight, height, hair color, eye color), contact information (home address and telephone number), employment and sponsor information, and attestation blocks. Block 27 must be left blank. Blocks 28 and 29 require initials, and Block 30 requires a handwritten signature and date, with explicit notation that digital signatures are not accepted.
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READ INSTRUCTIONS THOROUGHLY TO ENSURE BASE ACCESS
-Visitors ages 18 and older who do not possess a current DOD CAC must submit a SECNAV 5512/1 form.
-Forms are valid for 90 days from the date they are vetted by Visitor Control.
Forms Will NOT be accepted if:
1. Blocks 28 and 29 are not initialed
2. Not signed
3. The SSN is left blank for US citizens or permanent residents (NRL requirement)
4. Forms are emailed directly to Visitor Control unencrypted Unless otherwise indicated, the following fields of the SECNAV 5512 form MUST be filled in:
Block 1: Enter the Last Name.
Block 2: Enter the First Name.
Block 3: If applicable, enter the Middle Name.
Block 4: If applicable, check the box for Name Suffix.
Block 5: Check the applicable box for Race.
Block 6: Check the applicable box for Gender.
Block 7: Enter Date of Birth.
Block 8: Enter City of Birth.
Block 9: Enter State of Birth.
Block 10: Enter Country of Birth.
Block 11: Check the applicable box for US Citizenship.
Block 12: Enter the name of the Country of Citizenship if citizen of another country.
Block 13: TWO forms of identity source documents from the list must be filled in.
-SSN must be one source for US citizens or permanent residents.
-Permanent residents must also include their alien registration information.
Block 14: Enter the Document Numbers located on the Identity Proofing Source document that were checked in Block 14.
Block 15: Enter the State that issued the Identity Source Document.
Block 16: Enter the Country that issued the Identity Source Document.
Block 17: Enter the Date that the Identity Source Document was issued.
Block 18: If applicable, enter the Date that the Identity Source Document will expire.
Block 19: Enter Weight in pounds.
Block 20: Enter Height in inches.
Block 21: Check the applicable box for Hair Color.
Block 22: Check the applicable box for Eye Color.
Block 23: Enter Home Address including City, State, and Zip Code. Enter Telephone Number.
A phone number MUST be provided.
Block 24: Enter sponsor name and phone number.
Block 25: Enter appropriate employer information. If not Employed enter: N/A.
Block 26: Enter appropriate supervisory information. If not Employed enter: N/A.
Block 27: Leave blank.
Block 28: Check the applicable answer.
PRINT FORM NOW
Block 28: Initial form.
Block 29: Initial form.
Block 30: Sign and date the form. Digital signatures are NOT accepted.
| SECNAV 5512-1 instructions2 |
| SECNAV 5512 for NRL |
| SECNAV 5512-1 instructions2 |
| SECNAV 5512 for NRL |
| ohsecnav5512 (002) |
File details come from the government source that posted it. Updated .