Foreign National-Site Visit-W912P525RA010-Cordell Hull OM.pdf
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- W912P525RA010
About this file
This document is a Foreign National (FN) Pre-Bid Meeting or Site Visit Request Form from the Nashville District Corps of Engineers. The form is designed for non-U.S. citizens, including permanent residents, who wish to attend a pre-bid meeting or site visit at a Nashville District field location. Key requirements include submitting the completed form with two legible color copies of approved verification documents (such as passports, citizenship certificates, or immigration forms) at least two weeks prior to the proposed visit date. The specific site visit is for the Cordell Hull Operations and Maintenance project, with a proposed visit date of 9/09/2025.
The form provides contact information for the Nashville District Corps of Engineers Security Office, including three staff members: Tracy Dorrough (Security Technician), Jay Klinger (Security Manager), and John Carter (Security Specialist). The document includes a Privacy Act Statement noting that the information is collected under Title 10, US Code Section 552 to verify visitor identification, and while providing information is voluntary, failure to do so may result in access denial. The form is available electronically and must be submitted to the District Security Management Office for approval, with exceptions considered on a case-by-case basis.
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Text version
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
| Passport: |
| USACE Site POC: Cordell Hull Operations and Maintenance- JORI COX |
| Date submited mm/dd/yyyy: |
| FULL name as listed on passport: |
| Country of Citizenship: |
| Date of Birth mm/dd/yyyy: |
| Name of Project Site (e: |
| g: |
| Barkley Dam): Cordell Hull Lock and Dam: 71 Corps Ln. Carthage, TN 37030 |
| Date visit mm/dd/yyyy: 9/09/2025 |
| Phone Number to be contacted at: |
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