Attachment 0003 - Site Visit Requirement Form.pdf

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Electronic Security Systems
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W519TC26QICID
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This document contains site visit requirements and procedures for Naval Weapons Station (NWS) Crane, along with the Department of Navy Local Population ID Card/Base Access Pass Registration Form (SECNAV 5512/1).

Site Visit Requirements: All individuals visiting NWS Crane must complete the SECNAV 5512/1 form prior to arrival, with box 30 completed only upon arrival at the visitor's center. Real ID-compliant identification is required as of May 7, 2025. The base sponsor for this visit is Graham Helms (phone: 812-296-0568). Visitors must provide the ACC-RI contract specialist with detailed information at least 72 hours before the visit, including name, email, phone number, company name, reason for visit, visit date, and foreign national status. The preliminary meeting point is Building 2084, with a requested meeting time of 0830 on July 7, 2026.

SECNAV 5512/1 Form Instructions: The form collects identity proofing and applicant information, including personal demographics, citizenship status, identity source documents, employment activity information, and work hours. Applicants must present acceptable identity documents from specified lists (U.S. Passport, State Driver's License, Social Security Number, or other government-issued documentation). The form authorizes DoD and federal agencies to conduct background investigations through the FBI, DSS, and DHS. It includes declarations regarding prior felony convictions, requirement to return the Local Population ID Card upon expiration or employment termination, and authorization for background checks. The form requires certification under penalty of perjury and is completed in part by base personnel conducting identity proofing and NCIC checks. False statements are punishable by fines and imprisonment up to five years.

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Site Visit Requirements for NWS Crane

All individuals entering NWS Crane for site visits will be required to fill out the aƩached SECNAV 5512/1 form, following the instrucƟons aƩached within the form. Please do not fill out box 30 unƟl your arrival at the NWS Crane visitor’s center.

All individuals entering NWS Crane will need to bring the proper ID as outlined within the SECNAV 5512/1 form. * As of 7 May 2025, Real ID compliant identification is required to enter NWS Crane. For more information, see: https://cnrma.cnic.navy.mil/ Operations-and-Management/Base-Access/REAL-ID-Act/

For this site visit, your base sponsor’s name is __________________________________.

For this site visit, your base sponsor’s phone number is __________________________.

AddiƟonally, please respond to the ACC-RI contract specialist with the following informaƟon at least 72 hours prior to the intended site visit. Note: This is required with each gate pass form and for every individual entering NWS Crane.

o Last name, first name, and middle iniƟal.

o Email address o Phone Number o Company Name o Reason for visit (Example- For solicitaƟon XXXXXX) o Date of visit o Foreign NaƟonal ; Yes or No o NaƟonality

__For ___this site ______visit, _____the _________preliminary ______meeƟng ______point ___will be _______located at________________________.

For this site visit, the requested meeƟng Ɵme is ________________________________.

This site visit will occur on __________________________________________________.

A.03 Site Visit Form 2 1
SECNAV 5512_1 Visitor Form_1
undefined_3: Bldg 2084
undefined_4: 0830
undefined_5: 7/7/2026
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undefined_2: 812-296-0568
undefined: Graham Helms

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