PSNS Security Request Forms

Visitors to PSNS that require access to Mooring ‘A’ and Ex-CGN-9 need the following documents to establish proof of citizenship (original documents).

REQUIRED DOCUMENTS:

To be vetted with a background check and identify proofing by VCC personnel, you must bring a REAL ID compliant valid/current government issued photo identification and current proof of citizenship. This applies to all individuals except for active-duty service members and federal civilian employees, who do not require the same background checks. Despite having a CAC, these individuals are required to bring any of the following proofs of citizenship. ▪
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State issued birth certificate: This must be an original or state certified copy. Personal photocopies, electronic versions, or hospital issued birth records are NOT accepted. Enhanced state-issued driver's license only accepted from Michigan, Minnesota, New York, Vermont, and Washington.
U.S. Passport (book or card): The passport can NOT be expired. Certification of Naturalization: This document (FS-550/560) must be an original; electronic or photocopies are not accepted.
Born-abroad Certificate: This document (FS-240) must be an original. Electronic or photocopies are not accepted.

Additionally:
In order for PSNS sponsors to submit personnel request, all visitors are required to complete form SECNAV 5512/1 and PSNS 5512/127 with all the company’s applicable data filled in, password protect and submit via encrypted email to both [email protected] and [email protected]. These forms must be submitted two weeks prior to your visit. See forms in Enclosures 1 and 2.

Confined Space Access:
Non-government civilian contractors need to provide their own gas free certifications. Coordinate with PSNS prior to visit.

Cell Phones:
Please leave all camera phones in your hotel room or in your car. No cameras or recording devices are authorized in the CIA at PSNS unless you have been specifically trained by PSNS Security.

Dosimetry Authorization:
The following information is required for visitor dosimetry and must be submitted on company letter head along with the access request forms, listed above, two weeks prior to arrival via encrypted email to both [email protected] and [email protected]:
• Full Name
• Social Security Number
• Sex
• Birthdate
• Employer
• Employer Address
• Employer Email
• Employer Fax Number
• Visit Dates
• Exposure Data (Quarter To Date, Year To Date, and Lifetime)