Free Secnav 5512 1 Form in PDF

Free Secnav 5512 1 Form in PDF

The SECNAV 5512/1 form serves as a vital document for controlling physical access to Department of Defense (DoD), Department of the Navy (DON), or U.S. Marine Corps installations, units, and facilities. It ensures the security of sensitive areas by recording personal identification, managing badge issuance, and maintaining entry and exit logs for designated individuals. For those in need of access to such facilities, it's crucial to understand the form's purpose, disclosure policies, and the information required for completion. Click the button below to learn more about how to properly fill out the SECNAV 5512/1 form.

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The SECNAV 5512/1 form is a critical document designed for individuals seeking access to Department of Defense (DoD), Department of the Navy (DON), or U.S. Marine Corps installations, facilities, or areas. Detailed under the guidance of federal mandates such as 10 U.S.C. 5013, 10 U.S.C. 5041, Navy and Marine Corps security program manuals, and Executive Order 9397, this form serves multiple significant purposes. Primarily, it helps in controlling physical access to sensitive sites by verifying individuals through biometric and data processing services, thereby enhancing the protection of U.S., allied government, and national security areas. The form also plays a vital role in the issuance, replacement, and retrieval of access badges, maintenance of visitor statistics, collection of information for access adjudication, and tracking the entry and exit of personnel. Moreover, it outlines the routine use of collected information, which includes sharing with designated contractors, federal agencies, and foreign governments to facilitate Navy officials' access to various facilities. The importance of providing accurate information is underscored by the form, noting that failure to do so may result in denied access benefits or entry into DoD installations. Furthermore, the document covers identity proofing, applicant information requirements, and mandates the return of the Local Population Identification Card upon expiration or employment termination, alongside authorization and release for background checks by authorized federal agencies. It stands as a comprehensive tool for ensuring the security and proper management of access to military installations and facilities, reflecting a structured approach to safeguarding national security interests.

Preview - Secnav 5512 1 Form

OMB 0703-0061 Exp. 31 Mar 2017

DEPARTMENT OF THE NAVY LOCAL POPULATION ID CARD/BASE ACCESS PASS REGISTRATION

PRIVACY ACT STATEMENT:

AUTHORITY: 10 U.S.C. 5013, Secretary of the Navy; 10 U.S.C. 5041, Headquarters, Marine Corps; OPNAVINST 5530.14E, Navy Physical Security; Marine Corps Order 5530.14A, Marine Corps Physical Security Program Manual; and E.O. 9397 (SSN), as amended, SORN NM05512-2 .

PURPOSE(S): To control physical access to Department of Defense (DoD), Department of the Navy (DON) or U.S. Marine Corps Installations/Units controlled information, installations, facilities, or areas over which DoD, DON, or U.S. Marine Corps has security responsibilities by identifying or verifying an individual through the use of biometric databases and associated data processing/information services for designated populations for purposes of protecting U.S./Coalition/allied government/national security areas of responsibility and information; to issue badges, replace lost badges, and retrieve passes upon separation; to maintain visitor statistics; collect information to adjudicate access to facility; and track the entry/exit times of personnel.

ROUTINE USE(S): To designated contractors, Federal agencies, and foreign governments for the purpose of granting Navy officials access to their facility.

DISCLOSURE: Providing registration information is voluntary. Failure to provide requested information may result in denial of access to benefits, privileges, and DoD installations, facilities and buildings.

IDENTITY PROOFING AND APPLICANT INFORMATION

1. LAST NAME:

2. FIRST NAME:

3. MIDDLE NAME:

4. NAME SUFFIX:

Jr. Sr.

I

II III IV

5.

HISPANIC OR

 

 

 

 

 

 

 

 

 

6. RACE

 

 

 

 

AFRICAN AMERICAN

 

 

 

 

AMERICAN INDIAN OR

 

NATIVE HAWAIIAN

 

 

 

 

 

YES

 

 

NO

 

WHITE

 

 

 

 

ASIAN

 

 

OR OTHER PACIFIC

 

LATINO (Check one):

 

 

 

 

 

 

 

 

 

(Check one or more):

 

 

 

 

OR BLACK

 

 

 

 

ALASKIN NATIVE

 

ISLANDER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7.

GENDER

 

 

 

MALE

 

 

FEMALE

8. DATE OF BIRTH:

 

9. CITY OF BIRTH:

 

10. STATE OF BIRTH:

11. BIRTH COUNTRY:

 

 

 

 

 

 

 

 

(Check one):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12. US CITIZEN (Check):

 

YES

 

NO

13.DUAL CITIZENSHIP: YES NO CITIZENSHIP IF OTHER THAN US (Country) :

U.S. Citizen Minimum Documentation Required:

By Birth - Social Security No and/or State ID/Drivers License.

Naturalized - Certification Number, Petition Number, Date, Place and Court, United States passport number, Social Security No and/or State ID/Drivers License.

Derived - Parent's certification number, Social Security No and/or State ID/Drivers License.

Alien Minimum Documentation Required:

Registration Number, Expiration date, Date of entry, Port of entry.

14. IDENTITY SOURCE

15. DOCUMENT NUMBER:

16. ISSUED BY

17. ISSUED BY

18. ISSUED:

19. EXPIRES:

DOCUMENTS PRESENTED:

STATE/COURT:

COUNTRY:

 

 

 

Social Security No.

 

UNITED STATES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State ID/Drivers License

UNITED STATES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Passport No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Certification Number and

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Petition Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Derived - Parent's

 

 

UNITED STATES

 

 

 

 

 

 

 

 

 

 

Certification Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Alien Registration No.

 

 

UNITED STATES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date of Entry:

 

 

 

 

 

 

 

 

 

 

Port of Entry:

 

 

 

 

 

 

 

 

 

 

OTHER APPROVED IDENTITY SOURCE DOCUMENTS:

20.WEIGHT

(Pounds):

21.HEIGHT

(Inches):

22. HAIR COLOR (Check one):

23. EYE COLOR (Check one):

Blond

Brown

Black

Gray

Red

Brown

Green

Blue

Hazel

White

 

Silver

 

Auburn

 

Bald

 

Black

 

Gray

 

Violet

 

Unknown

24. HOME ADDRESS (Include city, state, zip code):

HOME PHONE (Include Area Code):

25. BASE SPONSOR'S NAME:

SPONSOR PHONE (Include Area Code):

EMPLOYMENT ACTIVITY INFORMATON

26.EMPLOYER NAME AND ADDRESS (Include city/state/zip code):

EMPLOYER PHONE (Include Area Code):

27.SUPERVISOR NAME AND ADDRESS (Include city/state/zip code):

SUPERVISOR PHONE (Include Area Code):

SECNAV 5512/1 (APR 2014)

FOR OFFICIAL USE ONLY WHEN FILLED - PRIVACY SENSITIVE:

Page 1 of 3

 

 

Any misuse or unauthorized disclosure of this information may result in both criminal and civil penalties.

 

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28.Check the applicable box for WORK HOURS box or check the OTHER box and enter the work hours, then check the applicable for WORK DAYS:

WORK HOURS:

 

0600-1800

 

0800-1700

 

OTHER

 

 

WORK DAYS:

 

SN

 

M

 

T

 

W

 

TH

 

F

 

ST

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PRIOR FELONY CONVICTIONS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

29. Have you ever been convicted of a Felony?

 

 

 

YES

 

NO

_______ Initial

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REQUIREMENT TO RETURN LOCAL POPULATION ID CARD

30.I understand that I am required to return my Local Population Identification Card to the Base Pass Office when it expires or if my employment is terminated for any reason. ________ (initial)

AUTHORIZATION AND RELEASE AND CERTIFICATION

31.I hereby authorize the DOD/DON and other authorized Federal agencies to obtain any information required from the Federal government and/or state agencies, including but not limited to, the Federal Bureau of Investigation (FBI), the Defense Security Service (DSS), the U.S. Department of Homeland Security (DHS).

I have been notified of DON right to perform minimal vetting and fitness determination as a condition of access to DON installation/facilities. I understand that I may request a record identifier; the source of the record and that I may obtain records from the State Law Enforcement Office as may be available to me under the law. I also understand that this information will be treated as privileged and confidential information.

I release any individual, including records custodians, any component of the U.S. Government or the individual State Criminal History Repository supplying information, from all liability for damages that may result on account of compliance, or any attempts to comply with this authorization. This release is binding, now and in the future, on my heirs, assigns, associates, and personal representative(s) of any nature. Copies of this authorization that show my signature are as valid as the original release signed by me.

FALSE STATEMENTS ARE PUNISHABLE BY LAW AND COULD RESULT IN FINES AND/OR IMPRISONMENT UP TO FIVE YEARS.

BEFORE SIGNING THIS FORM, REVIEW IT CAREFULLY TO MAKE SURE YOU HAVE ANSWERED ALL QUESTIONS FULLY AND CORRECTLY.

I DECLARE UNDER PENALTY OF PERJURY THAT THE STATEMENTS MADE BY ME ON THIS FORM ARE TRUE, COMPLETE AND CORRECT

DATE _______________ SIGNATURE ________________________________________

FINAL DETERMINATION ON YOUR ACCESS: The Base Commanding Officer has final authority for determination on granting physical access to DON controlled installations/facilities under his/her jurisdiction.

BELOW COMPLETED BY BASE REGISTRAR PERSON CONDUCTING IDENTY PROOFING and NCIC CHECK

32. INFORMATION VERIFIED BY:

33. ENTERED IN C/S SYSTEM BY:

34. PASS ISSUE DATE:

35. PASS EXPIRATION DATE:

36. NCIC CHECK PERFORMED BY:

37. RESULTS OF NCIC CHECK:

 

NO RECORDS

 

RECORD IDENTIFIER

RECORD NUMBER:

38. RESULTS OF LOCAL RECORDS CHECK:

NO RECORDS

 

RECORD IDENTIFIER

RECORD NUMBER:

Office of Under Secretary of Defense Directive-Type Memorandum (DTM) 09-012, "Interim Policy Guidance for DoD Physical Access Control," December 8, 2009. DTM 09-012 requires that DoD installation government representatives query the National Crime Information Center (NCIC) and Terrorist Screening Database to vet the claimed identity and to determine the fitness of non-federal government and non-DoD-issued card holders (i.e. visitors) who are requesting unescorted access to a DoD installation. The minimum criteria to determine the fitness of a visitor is: 1) not on a terrorist watch list; 2) not on an DoD installation debarment list; and 3) not on a FBI National Criminal Information Center (NCIC) felony wants and warrants list. Additionally, SECNAV Memo, Policy for Sex Offender Tracking and Assignment and Access Restrictions within the Department of the Navy, of 7 Oct 08 and OPNAVINST 1752.3 established the Navy's policy on sex offenders, requiring Region Commanders (REGCOMs) and Installation Commanding Officers (COs) to prohibit sex offender access to DoN facilities and Navy owned, leased or PPV housing. This form describes the authority and purpose to collect and share the required information; and identifies the applicant/visitor and sponsor; and authorizes the DoD to perform the minimum vetting and fitness determination criteria. A favorable response on the vetting and fitness determination is required to receive access to DOD-controlled installation/facilities.

SECNAV 5512/1 (APR 2014)

FOR OFFICIAL USE ONLY WHEN FILLED - PRIVACY SENSITIVE:

Page 2 of 3

 

 

Any misuse or unauthorized disclosure of this information may result in both criminal and civil penalties.

 

Document Specs

Fact Number Description
1 The SECNAV 5512/1 form is a requirement for accessing Department of Defense (DoD), Department of the Navy (DON), or U.S. Marine Corps installations, facilities, or areas.
2 The form serves multiple purposes, including controlling physical access through biometric databases, issuing badges, maintaining visitor statistics, and adjudicating access to facilities.
3 It operates under the authority of several legal and military directives, such as 10 U.S.C. 5013, 10 U.S.C. 5041, OPNAVINST 5530.14E, Marine Corps Order 5530.14A, and Executive Order 9397 (SSN), as amended, with specific reference to SORN NM05512-2.
4 Disclosure of information on the form is voluntary, but failure to provide it may result in denial of access to DoD benefits, privileges, and facilities.
5 Routine use of the collected information includes sharing with designated contractors, federal agencies, and foreign governments for the purpose of granting access to Navy facilities.
6 The form incorporates an extensive list of personal identification and background information, including but not limited to, name, citizenship status, race, gender, and documentation related to identity verification.

Instructions on Writing Secnav 5512 1

The process of filling out the Secnav 5512/1 form is crucial for individuals seeking access to Department of Defense (DoD), Department of the Navy (DON), or U.S. Marine Corps installations, facilities, or areas. This form serves multiple purposes, including the control of physical access to secure areas, the issuance and management of access badges, and the collection of demographic information for security purposes. Completing this form accurately and thoroughly is essential for ensuring the security of sensitive areas and for facilitating a smooth access process for authorized individuals.

  1. Start by entering your LAST NAME, FIRST NAME, MIDDLE NAME, and if applicable, any NAME SUFFIX (e.g., Jr., Sr., I, II, III, IV) in the respective fields.
  2. Select your HISPANIC OR LATINO status, and then check one or more boxes to indicate your RACE.
  3. Choose your GENDER and provide your DATE OF BIRTH, CITY OF BIRTH, STATE OF BIRTH, and BIRTH COUNTRY.
  4. Indicate your US CITIZEN status by checking the appropriate box. If you hold DUAL CITIZENSHIP, select "YES" and provide the other country of citizenship.
  5. For the IDENTITY PROOFING AND APPLICANT INFORMATION section, provide the minimum documentation required based on your citizenship status as outlined in the form (U.S. Citizen by Birth, Naturalized, Derived, or Alien).
  6. Enter the IDENTITY SOURCE DOCUMENTS presented, including document type, number, issuing authority (state/court or country), and the issue and expiry dates.
  7. Fill out your physical characteristics: WEIGHT (in pounds), HEIGHT (in inches), HAIR COLOR, and EYE COLOR.
  8. Provide your HOME ADDRESS and HOME PHONE number, including the area code.
  9. Fill in your BASE SPONSOR'S NAME and SPONSOR PHONE number, ensuring the area code is included.
  10. Under the EMPLOYMENT ACTIVITY INFORMATION, enter your employer's and supervisor's details, including names, addresses, and phone numbers.
  11. Indicate your WORK HOURS and WORK DAYS by checking the appropriate boxes or filling in the "OTHER" fields as necessary.
  12. If applicable, answer whether you have ever been convicted of a Felony by checking "YES" or "NO" and provide your initials in the space provided.
  13. Acknowledge the REQUIREMENT TO RETURN LOCAL POPULATION ID CARD by initialing in the designated area.
  14. Read the AUTHORIZATION AND RELEASE AND CERTIFICATION section carefully. By initialing and signing at the bottom, you authorize the necessary background checks and vetting processes. Ensure you accurately enter the date and your signature.
  15. The final sections regarding FINAL DETERMINATION ON YOUR ACCESS and subsequent fields are to be completed by the Base Registrar. These sections are not for the applicant to fill out.

After completing the form, review all the information for accuracy before submitting it to the appropriate office for processing. The information provided will undergo verification, including background checks, to assess eligibility for access to the requested facilities. It is crucial to provide complete and correct information to avoid delays or denial of access. Ensure that all documentation supporting your application is readily available and submitted along with the form, as per the instructions provided by the issuing authority or office.

Understanding Secnav 5512 1

What is the purpose of the SECNAV 5512/1 form?

The SECNAV 5512/1 form is used by the Department of the Navy to control physical access to Department of Defense (DoD), Department of the Navy (DON), or U.S. Marine Corps installations, facilities, or areas. Its main purpose is to identify or verify individuals through biometric databases and associated data processing/information services. This is essential for protecting U.S./Coalition/allied government/national security areas. The form is also used for issuing badges, replacing lost badges, and collecting information to adjudicate access to facilities.

Who needs to fill out the SECNAV 5512/1 form?

This form must be filled out by individuals who require access to Department of Defense, Department of the Navy, or U.S. Marine Corps installations, facilities, or secure areas. This includes but is not limited to military personnel, civilian employees, contractors, and visitors who need unescorted access to these areas.

What documents are required to complete the SECNAV 5512/1 form?

Depending on your citizenship status, various documents are required. U.S. citizens need to present a minimum of their Social Security Number and/or State ID/Driver's License. For naturalized citizens, additional documents such as the Certification Number, Petition Number, and United States Passport Number are required. Non-U.S. citizens must provide their Alien Registration Number, expiration date, date of entry, and port of entry among other documents.

Is providing information on the SECNAV 5512/1 form mandatory?

Providing information on the SECNAV 5512/1 form is voluntary. However, failure to provide the requested information may result in denial of access to benefits, privileges, and DoD installations, facilities, and buildings.

What are the consequences of providing false information on the form?

Providing false statements on the SECNAV 5512/1 form is punishable by law. Individuals who provide inaccurate or dishonest information may face fines and/or imprisonment for up to five years. It is crucial to review all entries carefully and ensure that all provided information is true, complete, and correct.

Who has the final say in granting access to DoN controlled installations/facilities?

The Base Commanding Officer holds the final authority in determining whether physical access to Department of the Navy controlled installations and facilities is granted. This decision is based on a thorough review of the information provided on the SECNAV 5512/1 form, as well as the results of any required background checks.

Common mistakes

When filling out the Secnav 5512/1 form, certain mistakes are commonly made, impacting the process negatively. A frequent error is not checking the document’s expiration date, leading to submissions with outdated forms. Ensuring you're working with the most current form avoids unnecessary delays.

Another common mistake involves incorrect or incomplete personal information in sections 1 through 11. It is critical to double-check entries for accuracy, especially names, birth date, and citizenship details, as these are essential for identity verification. Providing incorrect information can lead to significant delays or denial of access.

Often, applicants fail to correctly document their citizenship status, particularly if holding dual citizenship. This detail is crucial for the adjudication process and must be accurately filled in, reflecting the applicant's current status. Misrepresentation or errors in this section can complicate or extend the vetting process.

A recurring issue also lies in the proper documentation of identity proofing and applicant information. Sections 13 through 19 require careful attention to ensure that all documents presented are valid, accurately reflected, and not expired. The failure to provide correct document numbers, issuance details, and expiration dates can significantly hinder the approval process.

Furthermore, applicants sometimes overlook the importance of correctly listing their employment activity information, including accurate employer and supervisor details in sections 26 and 27. This information aids in the verification of an applicant's purpose for access, and mistakes here can cast doubt on the application's validity.

The declaration of prior felony convictions (or lack thereof) in section 29 is often mishandled. Failing to truthfully disclose this information can lead to legal repercussions and denial of access. Honesty in this section is paramount for the integrity of the security process.

Another notable mistake is not understanding the requirement to return the Local Population ID Card as stated in section 30. Overlooking this obligation can cause administrative issues or even result in access being revoked for non-compliance.

In sections 31 and beyond, where authorization, release, and certification are necessary, applicants sometimes sign without thoroughly reviewing the document. This oversight can lead to inaccuracies on the form, potentially leading to legal troubles or the need to resubmit.

Last but not least, ensuring that the form is signed and dated correctly as per the final section before the signature is crucial. An unsigned or undated form is considered incomplete and will not be processed, delaying or even denying access.

Documents used along the form

When processing or accompanying the SECNAV 5512/1 form, which is used for Department of the Navy local population ID card/base access pass registration, several other forms and documents might also be important. These documents serve various purposes, from verifying identity to ensuring security compliance.

  • DD Form 1172-2: This is the Application for Identification Card/DEERS Enrollment. It is essential for military personnel, retirees, and their dependents to prove eligibility for military benefits, including healthcare and base access.
  • NCIC Background Check Results: The National Crime Information Center check results are necessary for security purposes, verifying if an individual has a criminal background that may affect their base access privileges.
  • Proof of Relationship Documents: These include marriage certificates, birth certificates, or adoption papers demonstrating a familial relationship with a sponsor for dependent ID cards and base access.
  • Two Forms of Identification: Usually required for identity proofing, including a government-issued photo ID (e.g., driver’s license, passport) and a secondary form of identification.
  • DEERS Enrollment Documentation: Documents proving the Defense Enrollment Eligibility Reporting System registration, essential for military family members to access services and facilities.
  • FBI Fingerprinting Results: Fingerprinting results from the Federal Bureau of Investigation may be requested for certain positions or access levels, ensuring security clearance.
  • Sponsor Letter: A letter from an active duty member or DoD employee sponsoring the applicant for access. It’s crucial for contractors and other non-DoD employees requiring base access.
  • Termination Letter: When employment or base access is no longer required, a termination letter might be needed to deactivate ID cards or passes and reclaim them.

The compilation of these documents, alongside the SECNAV 5512/1 form, plays a crucial role in managing security and ensuring safe and regulated access to Navy and Marine Corps installations and facilities. The process protects sensitive areas and information, maintaining the integrity and security of military operations.

Similar forms

The SECNAV 5512/1 form bears similarity to the "DD Form 1172-2 - Application for Identification Card/DEERS Enrollment" due to its function in verifying identity and authorizing access to specific populations within the Department of Defense (DoD) framework. Like the SECNAV 5512/1, the DD Form 1172-2 collects personal identification information and documentation proof to manage access and privileges within military facilities and systems. Both forms play crucial roles in maintaining security protocols, ensuring that access is granted to eligible individuals, thus safeguarding personnel and sensitive areas from unauthorized entry.

Another document with functional likeness is the "I-9 Employment Eligibility Verification" form used within the civilian workforce to verify the identity and employment authorization of individuals hired for employment in the United States. Although the I-9 form is utilized in a different context, the core purpose aligns with the SECNAV 5512/1's objective of verifying an individual's identity and eligibility. Both documents require personal information and documentary evidence to authenticate status – in one case for employment eligibility, and in the other, for access to military installations.

The "SF-86 Questionnaire for National Security Positions" also shares commonalities with the SECNAV 5512/1 form. The SF-86 is used to gather information for background checks for individuals seeking to engage in positions affecting national security. Much like the SECNAV 5512/1 form, it collects detailed personal information, including past residences, employment history, and citizenship status, to assess an individual’s eligibility and reliability. Both forms are essential to national security protocols, ensuring that only qualified and vetted individuals gain access to sensitive information and locations.

"FBI FD-258 Applicant Fingerprint Card" is akin to the SECNAV 5512/1 form in terms of its role in identity verification and security clearance processes. The FD-258 card is often used for background checks, capturing fingerprints for individuals applying for certain jobs, licenses, or access to secure areas. While the FD-258 specifically deals with the biometric aspect of security, when combined with the information provided in forms like the SECNAV 5512/1, a comprehensive profile of an individual’s background and eligibility for access or employment is compiled.

Lastly, the "Customs and Border Protection (CBP) Declaration Form 6059B" shares a procedural similarity with the SECNAV 5512/1 form, although it serves travelers entering the United States. This form requires individuals to declare items and provide personal identification details, similar to the identity verification aspect of the SECNAV 5512/1. Both forms are integral to security measures within their respective domains, ensuring the proper vetting of individuals as they access controlled environments, be it a military base or the national border.

Dos and Don'ts

When completing the SECNAV 5512/1 form, it's essential to understand the do's and don'ts to ensure the process is smooth and successful. Below are critical guidelines to follow:

  • Do's
  • Ensure all the information provided is accurate and current to avoid delays in the identification and verification process.
  • Review each section thoroughly before providing your information, especially sections regarding citizenship, identity proofing, and documentation required.
  • Include all necessary documents that verify your identity and eligibility for an ID card or access pass, following the guidelines for both U.S. citizens and aliens.
  • Initial where required, particularly in sections concerning prior felony convictions and the requirement to return the local population ID card, to signify your understanding and agreement.
  • Sign and date the form to confirm the accuracy and completeness of the information provided and to authorize the Department of Defense (DoD), Department of the Navy (DON), and other federal agencies to obtain further information if necessary.
  • Pay close attention to the final determination section to understand the base commanding officer's role in granting access, although this is typically completed by the registrar.
  • Don'ts
  • Avoid providing incomplete or false information, as this can result in denial of access, or worse, legal penalties including fines and imprisonment.
  • Do not skip sections that require your initial, especially regarding prior convictions and understanding of the terms and conditions for holding an ID card or access pass.
  • Refrain from signing the document before ensuring all information provided is true, complete, and correct to the best of your knowledge; false statements are punishable by law.
  • Do not overlook the importance of reviewing the privacy act statement and understanding the purpose and routine use of your information before submitting the form.
  • Avoid failing to check the document expiration dates for the identity source documents you are presenting with your application.
  • Do not forget to provide contact information for your base sponsor, as this is crucial for the verification and authorization process.

Misconceptions

When it comes to the Department of the Navy's Local Population ID Card/Base Access Pass Registration, known as the SECNAV 5512/1 form, there are several common misconceptions. Let's address seven of these misunderstandings to provide clarity:

  • Voluntary Disclosure: Some may think providing information on this form is compulsory without exception. However, the form clearly states that disclosure is voluntary. But, it's important to understand that not providing the requested information could lead to denial of access to facilities and services.

  • Use of Social Security Number: It's a widespread belief that a Social Security Number (SSN) is not crucial for this form. In reality, the form uses the SSN for identity verification purposes, aligning with E.O. 9397 (SSN), as amended. It's part of the process to ensure the security and protection of U.S. Department of Defense assets.

  • Access Denial: Another misconception is that denial of a base access pass is final and without recourse. Applicants should note that the SECNAV 5512/1 form includes provisions for reconsideration depending on the circumstances surrounding the denial of access.

  • Dual Citizenship: There's often confusion about how dual citizenship affects the application process. The form explicitly asks about dual citizenship, allowing individuals to disclose their status, which ensures thorough vetting without automatically disqualifying them from access.

  • Physical Characteristics: Some might think personal descriptors like height, weight, and eye color are irrelevant. These details, however, are crucial for the creation of accurate and secure identification cards and badges.

  • Background Checks: It's mistakenly believed that the form leads to extensive criminal background checks for all applicants. While it does allow for a criminal history check through the NCIC, this is part of the minimum vetting process aimed at ensuring the safety and security of military installations.

  • Automatic Renewals: Lastly, a common misconception is that the Local Population ID Card gets automatically renewed. Holders must understand that they are required to return their ID card to the Base Pass Office upon expiration or termination of employment for any reason, as stated in the form.

Addressing these misconceptions promotes a better understanding of the SECNAV 5512/1 form's purpose, requirements, and the process of obtaining a Department of the Navy Local Population ID Card/Base Access Pass. This clarity ensures individuals are well informed as they complete their application.

Key takeaways

Filling out the SECNAV 5512/1 form is a crucial step for anyone seeking to obtain a Local Population ID Card/Base Access Pass to enter Department of Defense (DoD), Department of the Navy (DON), or U.S. Marine Corps installations. Understanding this process and the key details of the form can help ensure a smooth and successful application. Here are some important takeaways:

  • Authority and purpose behind the form stem from federal laws and orders, designed to securely manage physical access to military installations.
  • Providing information on the form is voluntary, but failure to do so may result in denial of access to DoD facilities and benefits.
  • Applicants must provide personal identification details, including name, birth information, citizenship, and racial/ethnic background, to assist in identity verification.
  • Specific documents are required to prove identity and citizenship, varying whether one is a U.S. citizen by birth, naturalization, or an alien.
  • Disclosure of any prior felony convictions is mandatory, highlighting the importance of transparency in ensuring base security.
  • The necessity of returning the Local Population ID Card to the Base Pass Office upon expiration or termination of employment is emphasized.
  • Applicants authorize the DoD, DON, and other federal entities to obtain and verify personal information as part of the security vetting process.
  • The importance of truthfulness is underscored, noting that false statements can lead to significant legal consequences, including fines and imprisonment.
  • The Base Commanding Officer ultimately has the authority to grant or deny physical access to installations based on the application and supporting checks.
  • Security checks include querying national databases to ensure the applicant does not pose a security threat, focusing on criminal records, terrorist watchlists, and sex offender registries.

The SECNAV 5512/1 form functions as a comprehensive tool for ensuring the safety and security of military installations by vetting individuals before granting access, highlighting the careful balance between individual privacy and the overarching need for national security.

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