Da Form 1999 (Mar 2006) Restricted Area Visitor Register
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1FOR OFFICIAL USE ONLY WHEN FILLED IN.
ORGANIZATION
YEAR
(YYYYMMDD)
RESTRICTED AREA VISITOR REGISTER
REQUIREMENT CONTROL
SYMBOL: AMC-226 (Ri)
For use of this form, see TB-380-41; the proponent agency is CSLA.
PRIVACY ACT STATEMENT
AUTHORITY
5 U.S.C. 301, Department Regulations, 10 U.S.C. 3013, Secretary of the Army, AR 190-16, Physical Security; TB-380-41 and EO 9397 (SSN).
PRINCIPAL PURPOSE:
This information will be used to verify the identity of visitors into controlled access areas.
ROUTINE USES:
None. The "Blanket Routine Uses" set forth at the beginning of the Army's Compilations of System of Records Notices apply to this system.
DISCLOSURE:
Voluntary. However, failure to provide all the requested information may result in denial of access to the controlled areas.
CLEAR-
MATERIAL
DATE
TIME
ANCE
AUTHORIZING
STORED OR
PURPOSE
STATUS
OFFICER'S
SCREENED
PRINTED NAME
OF VISIT
DAY
MO
GRADE
SSN
SIGNATURE
ORGANIZATION
(TS, S,
SIGNATURE
IN
OUT
(First, MI, Last)
YES
NO
Conf, None)
DA FORM 1999, MAR 2006
APD LC v1.00
EDITION OF JAN 1988 IS OBSOLETE.
FOR OFFICIAL USE ONLY WHEN FILLED IN.
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