3/20/2021 0 Comments 5512 Form
In coordination with the DoD, CIO, the DD establishes policies and procedures for the DoD Forms Management Program, including responsibilities for reviewing and approving form requirements.DoD forms satisfy a valid need; essential to accomplish a mission and necessary for the efficient and economical operation of the DoD.
This means that we are responsible for making sure that all Military Services and DoD components remain compliant with established form policies, and that all approved forms are current and readily accessible. We do not receive or process completed forms. For status of a completed form, please contact the appropriate component andor the Office of Primary Responsibility (OPR) in order to address your concerns. US CITIZEN ( ): YES NO Check CITIZENSHIP IF OTHER THAN US (Country): U.S. Citizen Minimum Documentation Required: By Birth - Social Security No andor State IDDrivers License. As of today, no separate filing guidelines for the form are provided by the issuing department. Form Details: Released on April 1, 2014; The latest available edition released by the U.S. Department of the Navy - Secretary of the Navy; Easy to use and ready to print; Yours to fill out and keep for your records; Compatible with most PDF-viewing applications; Fill out the form in our online filing application. 5512 Form Download A FillableDownload a fillable version of SECNAV Form 55121 by clicking the link below or browse more documents and templates provided by the U.S. Department of the Navy - Secretary of the Navy. PURPOSE(S): To control physical access to Department of Defense (DoD), Department of the Navy (DON) or U.S. Marine Corps InstallationsUnits controlled information, installations, facilities, or areas over which DoD, DON, or U.S. ROUTINE USE(S): To designated contractors, Federal agencies, and foreign governments for the purpose of granting Navy officials access to their facility. Failure to provide requested information may result in denial of access to benefits, privileges, and DoD installations, facilities and buildings. LAST NAME: 2. FIRST NAME: 3. MIDDLE NAME: 4. NAME SUFFIX: Jr. Sr. I II III IV NATIVE HAWAIIAN 6. RACE 5. HISPANIC OR AFRICAN AMERICAN AMERICAN INDIAN OR NO YES WHITE ASIAN OR OTHER PACIFIC LATINO: OR BLACK ALASKIN NATIVE (Check one): (Check one or more) ISLANDER 8. DATE OF BIRTH: 9. CITY OF BIRTH: 10. STATE OF BIRTH: 11. BIRTH COUNTRY: 7. GENDER MALE FEMALE: (Check one) YES NO 13. ![]() Citizen Minimum Documentation Required: By Birth - Social Security No andor State IDDrivers License. Naturalized - Certification Number, Petition Number, Date, Place and Court, United States passport number, Social Security No andor State IDDrivers License. Derived - Parents certification number, Social Security No andor State IDDrivers License. Alien Minimum Documentation Required: Registration Number, Expiration date, Date of entry, Port of entry. IDENTITY SOURCE 16. ISSUED BY 17. ISSUED BY 18. ISSUED: 19. EXPIRES: 15. DOCUMENT NUMBER: DOCUMENTS PRESENTED: STATECOURT: COUNTRY: United States Social Security No. Certification Number and Petition Number Derived - Parents United States Certification Number: Alien Registration No. United States Date of Entry: Port of Entry: OTHER APPROVED IDENTITY SOURCE DOCUMENTS: 22. HAIR COLOR ): 23. EYE COLOR (Check one): 20. HEIGHT (Check one WEIGHT: (Inches) Blond Brown Black Gray Red Brown Green Blue Hazel: (Pounds) White Silver Auburn Bald Black Gray Violet Unknown 24. HOME ADDRESS: HOME PHONE: (Include Area Code) (Include city, state, zip code) SPONSOR PHONE: 25. BASE SPONSORS NAME: (Include Area Code) NAVY LEAGUE OF THE U.S., IMPERIAL VALLEY COUNCIL EMPLOYMENT ACTIVITY INFORMATON 26. EMPLOYER NAME AND ADDRESS EMPLOYER PHONE: (Include citystatezip code): (Include Area Code) 27. SUPERVISOR NAME AND ADDRESS: SUPERVISOR PHONE (Include citystatezip code) (Include Area SECNAV 55121 (APR 2014) FOR OFFICIAL USE ONLY WHEN FILLED - PRIVACY SENSITIVE: Any misuse or unauthorized disclosure of this information may result in both criminal and civil penalties.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |