Foreign National Security Access Form (Barkley).pdf

Version 2019

Nashville District Corps of Engineers

*Foreign National (FN) Pre-Bid Meeting or Site Visit Request Form

This Request Form is for non-U.S. Citizens, including permanent residents requesting approval to attend a pre-bid meeting or site visit at one of the Nashville District (LRN) field locations.

LRN Pre-Bid Meeting and/or Site Visit POC: __________________________________

Date request is submitted to District Security Office (LRN-SM) (mm/dd/yyyy) ___________________

FULL Name (As Listed on Passport) __________________________________________ (Last, First, Middle)

Date of Birth (mm/dd/yyyy): ______________ Citizenship (Country): ______________

Passport #: __________ Project Site to be Visited: ___________________________

Date of Proposed Visit (mm/dd/yyyy) ____________________________

Approved Verification Documents:

Passport (unexpired or expired)

Certificate of U.S. Citizenship (INS Form N-560 04 N-561)

Certificate of Naturalization (INS Form N-550 or N-570)

Unexpired foreign Passport with I-551 stamp or attached INS Form I-94 indicating unexpired employment authorization

Alien Registration Receipt Card with photo (INS Form I-151 or I-551)

Unexpired Temporary Resident Card (INS Form I-688)

Unexpired Employment Authorization Card (INS Form I-688A)

Unexpired Reentry Permit (INS Form I-327)

Unexpired Refugee Travel Document (INS- Form I-571)

This completed form and legible color copies of two of the verification documents listed above should be submitted two (2) weeks prior to the meeting or site visit to the Nashville District Security Management

Office for approval. Exceptions will be considered on a case by case basis but will be limited.

Please Provide Phone Number, if we have questions: __________________________

Nashville District Corps of Engineers Security Office Contact Information:

Tracy Dorrough, Security Technician, 615-73-7397 email: tracy.dorrough@usace.army.mil Jay Klinger, Security Manager, 615-736-2185 email: jason.j.klinger@usace.army.mil John Carter, Security Specialist, 615-736-5567 email: john.j.carter@usace.army.mil

PRIVACY ACT STATEMENT

Information is solicited in accordance with Title 10, US Code Section 552 and is used to provide information necessary in preparation for a pre-bid meeting or site visit and to verify positive identification of visitor. Solicited information is voluntary; however, failure to provide information may result in access denial.

This form is available at: https://www.lrn.usace.army.mil/Portals/49/docs/Security/FN%20Pre-

Bid%20Meeting%20AUG2015_508.pdf mailto:tracy.dorrough@usace.army.mil mailto:jason.j.klinger@usace.army.mil mailto:john.j.carter@usace.army.mil https://www.lrn.usace.army.mil/Portals/49/docs/Security/FN%20Pre-Bid%20Meeting%20AUG2015_508.pdf https://www.lrn.usace.army.mil/Portals/49/docs/Security/FN%20Pre-Bid%20Meeting%20AUG2015_508.pdf