S-TS_Verification_Parent_Agency_Guidelines_ 1 .pdf

UNCLASSIFIED

UNCLASSIFIED

U.S. DEPARTMENT OF STATE

DIPLOMATIC SECURITY

Certification Unit

Fax: 571 345 3150 Tel: 571 345 3365

DSPSSCertTeam@state.gov CONTRACTORS to the DOS: Send your letters to DS/SI/IND Fax: 571 345 3000, Tel: 571 345 3040

Frequent Government Visitors – PSCs – Detailees from Federal Agencies

GUIDELINE SHEET

The following information must be submitted from the visitor’s Parent Agency according to the following guideline:

MUST be submitted on PARENT Agency’s Letterhead

MUST be signed by an authorizing signature from the SECURITY

OFFICE

Provide information at least 5 days in advanced, 10 days for 6 or more visitors

Visitation requests not submitted on proper letterhead or without a signature are subject to rejection.

When completing a letter for the request to the Certification Unit, please provide all the following information and fax or email the letter to the Certification Unit at the above contact information.

Subject’s identifying information:

A. Name

B. Date of Birth / Place of Birth

C. Social Security Number (full number is necessary)

D. Name of Agency (employer)

Subject’s Security Clearance information: (Provided by the Agency’s Security Office)

E. Level of Clearance granted (Collateral clearances only, for SCI access contact the SSO office at DS_SSO@state.gov, Tel: 202-647-8863 or Fax: 202-736-4228)

F. Date Clearance was granted

G. Clearance Granting Agency

H. Type of Investigation completed

I. Date Security clearance was completed

J. Periodic Re-Investigation update (if applicable)

K. Investigating Agency (if different from granting agency)

Visit Information:

L. Purpose of visit (Please be specific about the PURPOSE to gain access to the facility)

IF the Visitor is a DETAILEE – the DOS sponsoring office must submit a DS-1143

M. Length of visit (FORMAT: mm/dd/yyyy – mm/dd/yyyy)

N. Point of Contact at the Department of State: include NAME, TITLE, OFFICE (DO NOT put the Certification Unit as the POC, but the office and person with whom you are meeting or working with for your visit.)

mailto:DSPSSCertTeam@state.gov mailto:DS_SSO@state.gov