W9127823R0055_190-13 Vetting_Site Visit_MRDC.docx
DOCX document 21 KB Posted
- Solicitation number
- W9127823R0055
About this file
This document outlines the vetting process for non-DOD and non-federal employee visitors to Fort Detrick. It provides the form and instructions that organizations must complete for individuals requiring access to the base. Visitors must provide personal information including name, date of birth, driver's license details, organization affiliation, and purpose and duration of the visit. The form is submitted to the Provost Marshall's Office for vetting and approval. If approved, visitors will receive a badge granting them access to specified buildings for official business.
The related federal contract opportunity is a pre-solicitation notice from the Department of the Army Corps of Engineers for operation and maintenance services including repairs and minor construction at the US Army Medical Research and Development Command (MRDC) located at Fort Detrick. Interested contractors will likely receive a future solicitation to submit proposals to provide the required facilities support services to MRDC on a sustained basis.
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Text version
FORT DETRICK NON-DOD AND NON-FEDERAL EMPLOYEE VISITOR'S VETTING AND BADGE FORM
| Organization: WRAIR |
| Dale: 11/14/23 |
| PRIVACY ACT STATEMENT | |
| AUTHORITY: | 10 U.S.C. 3013, Secretary of the Army; Army Regulation 190-13, The Army Physical Security Program. |
To support the Department of the Army physical security and access control program; Information Assurance Program; to record personal data that is used in support of □TM 09-12; to
| PRINCIPAL PURPOSE: | provide a record of security/access badges issued; to restrict entry to installations and activities; to ensure positive identification of personnel authorized access; to maintain accountability for issuance and disposition of security/access badges. |
| ROUTINE USES: | Used by the Provost Marshall's Office to vet all Non-DOD and Non-Federal Employee visitors to Fort Detrick. |
| DISCLOSURE: | Mandatory. Failure to provide this information will result in the applicant not being able to gain access to Fort Detrick. |
| Name: (First, Ml, Last) |
| Sex (M/F) |
Race
Driver Lie#
Address
City
State
Zip Code
DOB
POB
Organization Bldg. . #
Period of Visit Results A/P/O
| Form can be hand delivered to 900 0 Veterans Drive (VCC Building) (Phone 301-619-0105) or e-mailed to: usarmy, detrick. usag .mbx .des-vett ing@ ma ll.mil | |
| For Forest Glen, the form can be hand delivered to BLDG. 604 (VCC) during duty hours and BLDG. 605 (PMO) during non-duty hours | (Results =Approved "A''/Pending "P"/Disapproved "D") |
COR(P) e-mail/phone:
Authorizing Officer's Signature:
COR(A) e-mail/phone:
Contractor POC e-mail/phone:
Contractor POC e-mail/phone:
Race Categories:
A - Asian or Pacific Islander B - Black/ African American I - American Indian / Alaskan Native U - Unknown W - White
*Complete and submit form to tylor.k.bell.civ@health.mil
Fort Detrick From 190-13, November 2015
File details come from the government source that posted it. Updated .