Attachment 16 Site Access Instructions.pdf

Instructions for Obtaining Visitor’s Pass:

USAG-Miami & HQ USSOUTHCOM

9301 NW 33rd Street, Doral, FL 33172-1202

In-advance:

(1) Complete the Attached SC-HSPD-12 form, Section I, Blocks 1 through 11, sign/date Block 12.

(2) Scan and Return to (john.e.burgess18.civ@mail.mil) with Scanned Copy of “two” (2) acceptable forms of identification (acceptable forms of ID are listed in Block 7, check the box for the two they plan to use to enter the installation).

This will allow us to process in advance and speed up entry to the installation. Please bring copy of the form and the two forms of identification to enter the installation.

Onsite:

Report to the visitor’s center to complete forms and show ID. Please plan ahead because of possible wait times.

NOTE: Those with current DoD/Military Identification Cards (CAC, Retiree ID, etc) can enter the installation with those provided they are current and not expired.

mailto:john.e.burgess18.civ@mail.mil

USSOUTHCOM Personnel Security Local Records Check

For Official Use Only

PART I- SUBJECT INFORMATION

1. Name: (Last, First, M.I.)

Other names: (maiden name, alias, AKA)

2. SSN / Nat’l ID No.:

3. Sex:

Female

Male

4. Date of Birth:

5. Place of Birth:

CITY:

COUNTY:

TOWNSHIP:

STATE: -

COUNTRY:

PROVINCE: -

6. Racial Category

American Indian

Asian

Black or African American

White/Caucasian:

Native Hawaiian or

Other Pacific Islander

OTHER

7. Two Original Identity Source Documents (one photo ID required)

a. U.S. Passport

b. U.S. Birth Certificate

c. Report of Birth Abroad

d. U.S. Naturalization

Certificate

e. DoD or Federal ID

f. Unexpired U.S. Permanent Resident Card

g. Unexpired Employment Authorization

Document

h. Unexpired foreign passport with a valid I-94 or I-94A for a class of admission that permits employment

i. Driver’s License

j. Other ID listed in I-9 Employment Eligibility

Verification

8. Country of Citizenship:

9. If not a U.S. Citizen are you a U.S. Permanent Resident:

YES NO

10. Have you been charged and/or convicted of a Felony Offense within the last 10 years?

Yes No

Offense: _____________________________

11. Employer Company or Agency/Address/Phone:

12. I hereby consent to a Local Records Check which will be used for a determination of access to USSOUTHCOM facilities and/or information.

Signature/Date:

PART II – REQUESTING GOVERNMENT SPONSOR

13. Sponsor Printed Name, Position and Phone No.

Sponsor Signature and Date:

PART III – LAW ENFORCEMENT:

14.

FDLE Criminal History Check RECORDS FOUND NO RECORDS FOUND PENDING CHARGES/COURT ACTION Law Enforcement Agency RECORDS FOUND NO RECORDS FOUND PENDING CHARGES/COURT ACTION

NCIC RECORDS FOUND NO RECORDS FOUND PENDING CHARGES/COURT ACTION

SDN RECORDS FOUND NO RECORDS FOUND PENDING CHARGES/COURT ACTION

E-Verify RECORDS FOUND NO RECORDS FOUND PENDING CHARGES/COURT ACTION ALERTS (previously COPS) RECORDS FOUND NO RECORDS FOUND PENDING CHARGES/COURT ACTION

Results:(List whether offense was a misdemeanor or felony and year)

At no time dissemination either by writing, verbal, or CJIS hard copy of the criminal history reports obtained through the CJIS System be released to unauthorized persons.

I Certify that a Local Records Check was conducted and the information is true and correct according to the record on file.

NAME: AGENCY: DATE:

PART IV – PERSONNEL SECURITY MANAGER CERTIFICATION:

15. Name/Signature Date: Expires on:

Sponsor Notified

Attachments

JPAS Updated

Cancel

USAG-Miami & HQ USSOUTHCOM 9301 NW 33rd Street, Doral, FL 33172-1202

From North ( via I-95 South )

- I-95 South to Exit 3A ( Dolphin Expy / SR 836 ) - Dolphin Expressway / SR 836 West

- Exit to NW 87th St North

- Right onto NW 87th St North to NW 33rd St

- Left onto NW 33rd St West to West/Visitor Gate [ See Next Map ]

- Right into West/Visitor Gate (2nd Gate) [ See Last Map ]

- After Security Point, Park in Visitor Parking Lot

From Miami Intl Airport ( Dolphin Expy )

- Exit Airport, #4 to SR 836 West

- Dolphin Expy / SR 836 West

- Exit to NW 87th St North

- Right onto NW 87th St North to NW 33rd St

- Left onto NW 33rd St West to West/Visitor Gate [ See Next Map ]

- Right into West/Visitor Gate (2nd Gate) [ See Last Map ]

- After Security Point, "See Installation Access"

From North ( via I-75 South & Turnpike ) - I-75 South to Exit 5 ( Florida Turnpike South ) - FLTP Extension South to Exit 29 ( Doral )

- Exit 29 ( Doral ) to NW 41st Street East

- Left onto NW 41st St East to NW 97th Ave

- Right on NW 97th Ave South to NW 33rd St [ See Next Map ]

- Left on NW 33rd Street East to West/Visitor Gate - Left into West/Visitor Gate (1st Gate) [ See Last Map ]

- After Security Point, Park in Visitor Parking Lot

Miami Intl Airport (MIA)

US Army Garrison Miami and Headquarters US Southern Command

From FL Turnpike Extension ( via NW 41st St / Doral Blvd )

From Airport / Dolphin Expressway ( via NW 87th Ave )

US Army Garrison Miami and Headquarters US Southern Command

(1) Access Control Point Gate #2 / West

(2) ID/CAC Check

(3) Park

USAG

Miami

Fitness Center

CDC

Residence Inn by Marriott Miami Airport West/Doral BEST if you can Get @ Per Diem

Extended Stay America - Miami - Airport - Doral

InterContinental Doral Miami

SpringHill Suites by Marriott Miami Doral Hotel Baymont by Windham Miami Doral Baymont by Wyndham Miami Doral Best Western Plus Miami-Doral/Dolphin Mall TownePlace Suites by Marriott Miami Airport West/Doral Area

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La Quinta Inn & Suites by Wyndham Miami Airport West

Element Miami Doral Aloft Miami Doral

Extended Stay America – Miami - Airport - Doral - 87th Avenue South

Holiday Inn Express Fairfield Inn Quality Inn AC Hotel Hyatt Wingate Hampton Courtyard

USAG Miami

HQ USSOUTHCOM

Holiday Inn Express

DoubleTree

USAG Miami & HQ USSOUTHCOM Lodging Options