Visitor Access Request

Visitor Access request

This form is used to request access to the Headquarters Building for Marine Corps Logistics Command for official purposes. Once this form is submitted please allow 48 hours for the Access Control team to respond to your request.

Privacy Act Statement Authority: 10 U.S.C. 5013; 10 U.S.C. 5041; OPNAVINST 5530.14E; MCO P5530.14; E.O. 9397 (SSN), as amended; and SORN NM05512-2. Purpose: To process and document requests for individuals to visit Marine Corps Logistics Command spaces. Routine Uses: Information will be accessed by MARCORLOGCOM security personnel with a need to know in order to meet the purpose. A complete list and explanation of the applicable routine uses is published in the authorizing SORN available at: https://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-view/Article/570444/nm05512-2/. Disclosure: Voluntary, however, failure to provide the requested information may result in the denial of the request

Date of Request*

Name of Requestor*

Requestor Phone Number*

Requestor E-mail

Email

Confirm

Purpose of Visit*

Name of LOGCOM Point of Contact

Point of Contact E-mail

What organization in Bldg. 3700 are you visiting?*

Visit Start Time

Visit End Time

Additional notes for the Access Control Office

Visitor 1*

Last, First, MI/ grade/rank, last 4 of EDPI (when applicable), organization and phone number

Visitor 2

Visitor 3

Visitor 4

Visitor 5

Visitor 6

Visitor 7

Visitor 8

Visitor 9

Visitor 10

Marines

Visitor Access request

VISITOR ACCESS BY NAME LIST