Attachment_3_5512_4_ENABLED_UPDATED_2013MAY01.pdf

FRCSW 5500.5

FRCSW 5512/4 (Rev. 3-13)

INCOMING VISITOR (VENDOR) AUTHORIZATION

FLEET READINESS CENTER SOUTHWEST

NORTH ISLAND

SAN DIEGO, CALIFORNIA 92135-7058

E-mail form to FRCSW SECURITY ADMINISTRATOR or frcsw_security_administrator@navy.mil

FROM (GOVERNMENT HOST):

CODE:

TO: FRCSW SECURITY, CODE 7.4

DATE(S) OF VISIT (Business day and Non-Holiday): TIME (Arrival time must not be prior to 0630 and no later than 1600):

BUILDING(S) TO VISIT:

REASON FOR VISIT:

PLEASE CHECK APPLICABLE BOX: ESCORT BADGE NO ESCORT BADGE

SIGNATURE:

DOD/FRCSW REQUESTOR (NAME AND PHONE EXTENSION):

Upon clearing with Pass & ID, all visitors must report to FRCSW Quarterdeck, Bldg 94, to receive a command badge.

All other cleared visitors that have other forms of base clearance (e.g. , Rapid Gate or JPAS ) must, at min, sign in at the Quarterdeck for personnel accountability purposes.

APPROVED BY DOD/FRCSW DEPARTMENT OR DIVISION HEAD:

SIGNATURE:

COMPANY:

SPECIAL INSTRUCTION FOR THE QUARTERDECK WATCH:

AUTHORIZED VISITOR (VENDOR) LEGAL NAME(S) DATE OF BIRTH *CITIZENSHIPPLACE OF BIRTH

* IF OTHER THAN U.S. CITIZENSHIP, ENSURE TO INDICATE WORK-AUTHORIZING DOCUMENTATION AND PERIODS OF AUTHORIZATION.

THIS INFORMATION MUST BE PRESENTED TO PASS & ID.

FRCSW 5500.5

FRCSW 5512/4 (Rev. 3-13)

INCOMING VISITOR (VENDOR) AUTHORIZATION

FLEET READINESS CENTER SOUTHWEST

NORTH ISLAND

SAN DIEGO, CALIFORNIA 92135-7058

E-mail form to FRCSW SECURITY ADMINISTRATOR or frcsw_security_administrator@navy.mil

TO: FRCSW SECURITY, CODE 7.4

PLEASE CHECK APPLICABLE BOX:

SPECIAL INSTRUCTION FOR THE RECEPTIONIST:

Upon clearing with Pass & ID, all visitors must report to FRCSW Quarterdeck, Bldg 94, to receive a command badge.

All other cleared visitors that have other forms of base clearance (e.g. , Rapid Gate or JPAS ) must, at min, sign in at the Quarterdeck for personnel accountability purposes.

VISITOR MUST CHECK INTO BLDG 94 QUARTER DECK TO RECIEVE A BADGE

SPECIAL INSTRUCTION FOR THE QUARTERDECK WATCH:

AUTHORIZED VISITOR (VENDOR) LEGAL NAME(S)

AUTHORIZED VISITOR (VENDOR) LEGAL NAME(S)

DATE OF BIRTH

DATE OF BIRTH

*CITIZENSHIP

*CITIZENSHIP

PLACE OF BIRTH

PLACE OF BIRTH

* IF OTHER THAN U.S. CITIZENSHIP, ENSURE TO INDICATE WORK-AUTHORIZING DOCUMENTATION AND PERIODS OF AUTHORIZATION.

THIS INFORMATION MUST BE PRESENTED TO PASS & ID.

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