T8 B5 Miscellaneous Fdr- 4 Authorization Forms For Nmcc Visits

p. 1 x

C O M M U N I C A T I O N R E S U L T R E P O R T ( J U L . 15. 2003 12:47PM ) x FAX HEADER 1 : FAX H E A D E R 2:

LWJSISMITTED/STORED MODE

: J U L . 15. 2 0 0 3 OPTION

12:46PM

M E M O R Y TX

REASON FOR E R R O R E — 1) HANG UP OR £ — 3) NO A N S W E R

L I N E

9-11 COMMISSION

ADDRESS

RESULT

PAGE

917036979028

OK

4/4

F A I L

Thomas H. CHAIR

FAX COVER SHEET

Lee H. Hamilton VICE CHAIR

Richsird Ben-Vcniste

Fi

Fielding

To:

From:

Jamie S. Gorelick

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Slade Oorton

Date:

John X-chmstn

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Number of pages (including cover sheest):

Timoii>yJ Roemer James R. Thompson Philip D. Zelikerw EXECUTIVE DIRECTOH.

TSL (3O2) 331-4060 FAX (202) 296-5345 .9-11commission.gov

9/11 Law ^r. for cement Sensitive

JOINT STAFF TEMPORARY RES'. DTED AREA ACCESS REQUEST (ESCORT REQUIRED) p ( £ £^

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1. This form is used (or visiting personnel who require temporary access (less than 30 days) to the Joint Staff Restricted Area, and who DO NOT possess a TOP SECRET security clearance.

(PERSONNEL LISTED MUST BE ESCORTED AT ALL TIMES) Starting Time:

2.

Location of visit:

3.

Date(s) of Visit:

4.

Affected Guard Posts:

5.

Visiting Personnel:

to n Jui 03

17 Juj

Ending Time:

JS Sponsors Name & Phone Number:

9,16,17 and la

NAME: (Last, First, Ml)

13QQ Local

Name Of Escort Official

coi Kuehi /[__

Lt Col Rezzonico/ Haj Carter

< For NMCC Entry Only) SSAN:

RANK/SERV:

•DPOB: (Date/Place of Birth)

•CITIZENSHIP:

c/ 7 A

HiWs

6.

Approval of the NMCS OPS^NG BR, for NMCC entry:

7.

Approved by:

i

(JS Security Division)

NOTE: Additional names may be added by attaching a plain piece of bond paper to this form. * DPOB & Citizenship blocks must be completed for civilians, PRIVACY ACT STATEMENT AUTHORITY: Title 10, U.S. Code, Chapter 5, Section 151-155, arid E.0. 9397. PRINCIPAL PURPOSE: To maintain a record of non-Joint Staff assigned persons having access to the Joint Staff Restricted Area. ROUTINE USES: Nona. DISCLOSURE: Failure to disclose requested data could result In denial of access to the Joint Staff Restricted Area.

JSFORM5AOCT92(EF)

150° Local

PREVIOUS EDITION IS OBSOLETE 9/11 Personal Privacy


9/11 Closed by Statute

1

JOINT STAFF TEMPORARY RES DIED AREA ACCESS REQUEST (ESCORT REQUIRED) 1. This form is used for visiting personnel who require temporary access (less than 30 days) to the Joint Staff Restricted Area, and who DO NOT possess a TOP SECRET security clearance.

(PERSONNEL LISTED MUST BE ESCORTED AT ALL TIMES1 2.

Location of visit:

Starting Time:

mcc

*/

3.

Date(s) ol Visit:

4.

Affected Guard Posts:

5.

Visiting Personnel:

21

jui 03

21

Ending Time:

JS Sponsors Name & Phone Number:

Jui

Name of Escort Official

9,16,17 and 18

NAME: (Last, First, Ml)

jnt'U*

to

13QQ Local

I50 °

Local

I

1

Col Kuehi / |

|

Lt Col Re2zonico/ Maj Carter (For NMCC Entry Only)

SSAN:

RANK/SERV:

*DPOB: (Date/Place of Birth)

'CITIZENSHIP:

' It US

6.

Approval of the NMCS OPS/TNG BR, for NMCC entry:

7.

Approved by:

(JS Security Division)

NOTE: Additional names may be added by attaching a plain piece of bond paper to this form. * DPOB & Citizenship blocks must be completed for civilians. PRIVACY ACT STATEMENT AUTHORITY: Title 10, U.S. Code, Chapter 5, Section 151-155, arid E.O. 9397. PRINCIPAL PURPOSE: To maintain a record of non-Joint Staff assigned persons having access to the Join! Staff Restricted Area. ROUTINE USES: None. DISCLOSURE: Failure to disclose requested data could result In denial of access to the Joint Staff Restricted Area.

JS FORM 5A OCT 92 (EF)

PREVIOUS EDITION IS OBSOLETE 9/11 Personal Privacy

9/11 Closed by S t a t u t e

10

PIS

JOINT STAFF TEMPORARY RES\D AREA ACCESS REQUEST (ESCORT REQUIRED) 1. This form Is used lor visiting personnel who require temporary access (less than 30 days) to the Joint Staff Restricted Area, and who DO NOT possess a TOP SECRET security clearance.

(PERSONNEL LISTED MUST BE ESCORTED AT ALL TIMES) "'"--....

2.

Location of visit:

3.

Datels) of Visit:

4.

Affected Guard Posts:

5.

Visiting Personnel:

Starting Time .

NMCC

21 Jui 03

^7«

21 Jul 03

9 , 1 6 , 1 7and _

NAME: (Last, First, Ml) Pkt'lif

to

1300 Local

Ending Time:

JS Sponsors Name & Phone Number:

18

Name Of Escort Official

Lt c°l

Co1 Kuehl 'r

Rezzonico/ Maj Carter

(For NMCC Entry Only > SSAN:

RANK/SERV:

*DPOB: (Date/Place of Birth)

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ZtA'kevJ f,WUY

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-

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/

6.

Approval of the NMCS OPS/TNG BR, for NMCC entry:

7.

Approved by:

\S Security Division)

NOTE: Additional names may be added by attaching a plain piece of bond paper to this form. * DPOB & Citizenship blocks must be completed lor civilians. PRIVACY ACT STATEMENT AUTHORITY: Title 10, U.S. Cade, Chapter 5, Section 151-155, and E.O. 9397. PRINCIPAL PURPOSE: To maintain a record of non^lolnl Staff assigned persons having access to the Joint Staff Restricted Ana. ROUTINE USES: None. DISCLOSURE: Failure to disclose requested data could result In denial of access to the Joint Staff Restricted Area.

BSSS

•CITIZENSHIP: „!

r-A^o X^^_

JS FORM 5A OCT 92 (EF)

1500 Local

PREVIOUS EDITION IS OBSOLETE 9/11

P e r s o n a l Privacy

X

X

X

COMMUNICATION

RESULT REPORT

( J U L . 16. 2003

2:16PM ) *

FAX H E A D E R 1: FAX H E A D E R 2: TRAM FILE

'TED/STORED E

: JUL. 16. 2003 OPTION

2:15PM 917036979028

0246 MEMORY TX

9-11 COMMISSION

RESULT

PAGE

OK

2/2

REASON_FORHERRORp Q E-3) N O A N S W E R

gs H-

FAX COVER SHEET

CHAIR.

Lee H. Hamilton VICE CHAIH.

Mai

'd

Fred F. Fielding

TO: (7*0 ^1*7 Fax# : From,

Jamie S- Gorelick

Date: John Lehman

~~7 / I <&

I °^

Kumbcr of pages (including covea- sheet):

Timothy J. Roomer James R. Thompson

PKUip DEXECUTIVE DIK.ECTOH.

TEL (202) 331^060 Fvot (202) 29(5-5545

9/11 Closec

vis, (JOLV I* "703-^7 JOINT STAFF TEMPORARY RES\D AREA ACCESS REQUEST (ESCORT REQUIRED) 1. This form is used for visiting personnel who require temporary access (less than 30 days) to the Joint Staff Restricted Area, and who DO NOT possess a TOP SECRET security clearance.

(PERSONNEL LISTED MUST BE ESCORTED AT ALL TIMES) '•-..

2.

Location of visit:

3.

Date(s) of Visit:

4.

Affected Guard Posts:

5.

Visiting Personnel:

Starting Times

IOKC

21 Jui 03

to

21 jul 03

9 , 1 6 , 1 7and

NAME: (Last First, Ml)

130° Local

JS Sponsors Name & Phone Number: Name Of Escort Official

18

Co1- Kuehl

" Col Rezzonico/ Maj Carter

SSAN:

RANK/SERV:

•CITIZENSHIP:

'DPOB: (Date/Place of Birth)

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,


C?'((&H*l

(JRIVW\?

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(For NMCC Entry Only)

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1500 Local

Ending Time:

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Q'(/CW*^

6.

Approval of the NMCS OPS/TNG BR, for NMCC entry:

7.

Approved by:

(JS Security Division)

NOTE: Additional names may be added by attaching a plain piece of bond paper to this form. * DPOB & Citizenship blocks must be completed tor civilians. PRIVACY ACT STATEMENT AUTHORITY: Title 10, U.S. Code, Chapter 6, Section 151-155, and E.O. 9397. PRINCIPAL PURPOSE: To maintain a record of non-Joint Staff assigned persons having access to the Joint Staff Restricted Area. ROUTINE USES: None. DISCLOSURE: Failure to disclose requested data could result In denial of access to the Joint Staff Restricted Area.

JS FORM 5A OCT 92 (EF)

PREVIOUS EDITION IS OBSOLETE 9/11 Personal Privacy