Get Ucn-21519 Y-12 National Security Complex Badge Request Form - Y12 Doe

The UCN-21519 Y-12 National Security Complex Badge Request Form is essential for individuals seeking to obtain a badge for work at the Y-12 facility. This guide provides clear, step-by-step instructions to assist users in completing the form online accurately.

Follow the steps to complete your badge request form online.

1. Press the ‘Get Form’ button to access the Y-12 National Security Complex Badge Request Form and open it for editing.
2. Fill in the badge information section, including whether you need a new badge or an update on a current badge. Specify important dates such as the date to be badged and the expiration date.
3. Complete the subject information section. Provide your full name as it appears on your identification, date of birth, Social Security Number, and citizenship.
4. Enter your contractor or company information, including the prime contract number and employer's full legal name who pays your wages.
5. Indicate your clearance requirements, selecting 'Yes' or 'No' regarding the necessity for a security clearance. If applicable, specify the Y-12 clearance level needed.
6. Outline your access requirements, checking if Limited Area, Protected Area, or Material Access Area access is needed, and provide any necessary documents.
7. The form requires signatures. Ensure you have the requesting official's name and signature, and add the date alongside contact information.
8. Before submitting, review the entire form for accuracy, ensuring all sections are completed. Save any changes made.
9. Once finalized, you can download, print, or share the completed form. Submit it via email or fax, or deliver it in person to the designated office.

Start your online badge request now to ensure timely processing of your application.