VISIT AUTHORIZATION REQUEST (VAR)



VISIT AUTHORIZATION Letter (VAL)

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|To: |From: |

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|Thru: |COGNIZANT SECURITY OFFICE: |

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|CAGE CODE: |FACILITY CLEARANCE: |VAR NO: |

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|NAME and TITLE |SSN |POB and DOB |Clearance Level and Date |

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|LEGEND: |

|TS-TOP SECRET CLEARANCE S-SECRET CLEARANCE CS-COMSEC BRIEFED N-NATO BRIEFED |

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|Date of Visit: |

|Purpose of Visit: |

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|Person(s) To Be Visited: |

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|INDUSTRIAL SECURITY ENDORSEMENTS: Visit authorization is requested for above listed employee(s) for the date(s) and purpose(s) specified. |

|Employee(s) is (are) U.S. citizens unless otherwise indicated. All personnel security clearances have been granted by the Defense Industrial |

|Security Clearance Office, 2780 Airport Drive, Suite 400 Columbus, OH 43219-2268 unless otherwise noted. Clearance date and other information |

|furnished is certified true and correct and this visit is to be made in the national interest. Visit approval is assumed unless otherwise |

|notified. |

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|________________________________________ _______________ |

|Facility Security Officer Date |

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|__________________________________________ _______________ |

|Additional Authorization (If Required) Date |

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