Visit_Request_MF190-20.pdf

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Mobley, Vickie L 10.0.2.20120224.1.869952 For Official Use Only (FOUO)/Contains Personally Identifiable Information (PII)

MCAAP VISITOR ACCESS REQUEST

(AR 190-13)

Contact (POC):

MCAAP Point of

MCAAP POC

Date(s) of Visit:

From: To:

Last Name First Name M/F

DOB

M/D/Y

DRIVER'S LIC #

STATE

U. S. CITIZEN

CAC

Y/N Pass & ID Use Only Notes NCIC Date Completed Entered in Badge System Authorization(s) Attached POC Notified (if necessary) MCAAP FORM 190-20, March 2016 PREVIOUS EDITIONS ARE OBSLETE Purpose of Visit:

Admin Only Restricted Area Will visitor be escorted? :

Phone #:

Provide the following information to the Pass & ID office at least 48 hours prior to visit (excluding weekends) Access Requested:

Instructions (for completing the form electronically) All fields are required to be completed MCAAP FORM 190-20, March 2016 PREVIOUS EDITIONS ARE OBSLETE MCAAP Point of Contact (POC): Enter the Point of Contact Name MCAAP POC Phone Number: Enter the Point of Contact Phone Number Date(s) of Visit: Click on the drop down and select the From and To Dates for the period you are visiting the installation Purpose of Visit: Provide the purpose/reason for your visit to the installation Access Requested: Select Admin or Restricted Area (or both) if you are requesting to visit these areas.

Will visitor be escorted? Click on the drop-down and select Yes or No Personal Information: provide the following information in the columns above:

Last Name

First Name

Gender (Male/Female): Click on the drop down and select "M" for Male or "F" for Female

Date of Birth (DOB): Click inside the DOB block to call up the calendar drop down. Double Click on the current month (appears in blue) to change the function to the Decades setting. Use the left scroll arrow to scroll to the correct decade that contains the year you were born. Select the year (example1964 or 1974), followed by the month and date you were born.

Drivers License: Enter your Driver's License number as it appears on your card. You are required to have both a current driver's license and automotive insurance in order to operate a privately owned vehicle on the installation.

State: Click in the block, click the State drop down and select the state that issued your current driver's license.

Nationality: Click inside the block, click the Nationality drop down and select the country you belong to, whether by birth or naturalization

CAC Card: Click inside the block, click on the drop down and select Yes or No

Hosting Directorate/Tenant: Click in the field to select the Directorate or Tenant who is hosting/responsible for the visitor Text Name of Escort/Division: Enter the name of the individual who will escort the guest. Enter the Division where the escort is assigned (example: Bob Smith/AO)