ATTACHMENT_6_-Site_Visitor_Information_Sheet_R3.xlsx
XLSX spreadsheet 12 KB Posted
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- W911S6-17-B-0007
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ATTACHMENT 6 -Site_Visitor_Information_Sheet_R3
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Visitor Information Sheet
| NAME (as it appears on License/Photo ID) | Drivers License | CAC | ||||||||||
| FIRST and MIDDLE INITIAL | LAST | Date of Birth (mm/dd/yyyy) | State | Number | eMail Address | Common Access Card (Yes or No) | ORGANIZATION OR COMPANY THE VISITOR REPRESENTS | EXPECTED ARRIVAL (mm/dd/yyyy) | EXPECTED DEPARTURE (mm/dd/yyyy) | CITIZENSHIP | ¹ REASON FOR VISIT | ² VISIT AREA |
***EXAMPLE ENTRY Required Information All information highlighted YELLOW is required, IN FORMAT SHOWN, or Security Access Webpage will not process. All information is cut and pasted to Security Access Webpage as received. Incorrect or improperly formatted information can result in failed background checks and ACCESS DENIAL.
| ¹ REASON FOR VISIT: | |||
| • Contractor | • Testing | • Job Interview | • Social Visit |
| • Delivery | • Training | • New Hire | • Dependent |
| • Sales Call | • Site Visit | • DPG Employee | • Dependent Social Visit |
| • Meeting | • TDY | • Pick-up |
| ² VISIT AREA - must specifically mention where you are going to: | |
| • EV | : English Village, to include landfill, 5000 series facility buildings, or addresses with three digits or less, e.g., 5330, 5222, 256A West Knight |
| • WD | : EV & West Desert Test Facility building series 1000, 3000, 4000, 6000, 7000, 8000, EXCLUDING Baker area 2000 series buildings |
| • WDL | : EV & West Desert Test Facility building series 1000, 3000, 4000, 6000, 7000, 8000, INCLUDING Baker area 2000 series buildings |
File details come from the government source that posted it. Updated .