Picatinny Visitor Pass Blank.pdf
PDF 844 KB Posted
- Attached to
- Renovation of Building 12 Picatinny Arsenal
- Solicitation number
- W912DS26RA004
About this file
This document is a Picatinny Arsenal Visitor Pass form designed for military installation access control. The pass requires detailed visitor information including name, driver's license number, and visit location. Visitors must present the printed pass along with a valid United States driver license, registration, and insurance card at the Visitor Control Center. The document outlines strict security protocols, including mandatory background checks through the federal NCIC system and potential searches upon entry, within, or leaving the installation. The specific sponsor listed is Carl Nauerz/Roberto Maldonado from USACE (CENAN-CO-NP), with the duty location at USACE Picatinny Resident Office in Building 320. The form emphasizes that falsifying the document to gain installation access is a federal crime and that Picatinny Arsenal reserves the right to deny access based on policy determinations.
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Text version
Sec uri ty
First Date of Entry Last Day of Entry
Name of Visitor
Driver License Number of Visitor
Location of Visit or Building Number
As a VISITOR to Picatinny Arsenal, I understand that I must present this PRINTED pass along with a valid United States driver license, registration, and insurance card to the Picatinny Arsenal Visitor Control Center (Located Adjacent to the Main Gate). I understand that by presenting this pass to the security staff I am subject to a background check and vetting using the federal NCIC system. All persons entering Picatinny Arsenal are subject to search when entering the installation, while within the confines of the installation, or when leaving. In accordance with Army Regulation, 190-22. and federal law. I also understand that this printed pass is valid for the above date or dates and any attempt to falsify this document to gain access to this installation is a federal crime and will be a reason for denial.
Picatinny Arsenal reserves the right to deny access to any party for reasons determined by policy.
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Name of Sponsor
Sponsors Office symbol
Sponsors Duty Location or Building Number
Digital Signature of Pass Coordinator
By digitally Signing this document, I authorize entry for the above individual. I affirm my visitor's identity and I ASSUME all responsibility for their actions and conduct while on the installation. I have advised the visitor of all the applicable rules and regulations within Picatinny Arsenal which pertain to them. I have verified that this person is in possession of the required identification needed to gain access to the installation. If they are not a naturalized citizen or in possession of a permanent resident ID, they have the proper permission and paperwork for access, as determined by the Installation command policy.
DigDigital ital SigSignature of Picatinny Sponsor
Sponsors Name
| Name of Visitor: |
| Driver License Number of Visitor: |
| Location of Visit or Building Number: |
| Name of Sponsor: Carl Nauerz / Roberto Maldonado |
| Sponsor Office symbol: USACE (CENAN-CO-NP) |
| Sponsors Duty Location or Building Number: USACE Picatinny Resident Office - Bldg. 320 |
| Start Date: |
| End Date: |
File details come from the government source that posted it. Updated .