Dd Form 2249 PDF Details

The DD Form 2249, a document integral to the operations and security protocols within the Department of Defense (DoD), serves a critical role in managing access to DoD buildings through the application for permanent building passes. As the gatekeeper for verifying the background investigations of individuals in connection with their official duties, this form encapsulates essential personal, employment, and background investigation data of applicants. The form delineates various employment categories including government, contractor, foreign, press, and entails specifying the need for escorting others, thereby tailoring access controls to operational needs. Information drawn from this form can also be utilized across federal, state, or local agencies, underlining its importance beyond the DoD’s remits. Noteworthy is the form's adherence to directives given under the authority of laws and executive orders, including the Privacy Act Statement which underscores the voluntary nature of disclosure amidst implications for access upon refusal. With a structured approach towards data collection, from personal identifiers to justifications for access and pass information, this document underscores a layered security and verification ethos, reflective of the complexity and sensitivity surrounding the access to key defense infrastructure. The form's designed efficiency is seen in its estimated completion time, coupled with a structure that eases the burden of data provision on the applicant, while ensuring thoroughness in vetting processes deemed essential for national security.

QuestionAnswer
Form NameDd Form 2249
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesform 2249 fillable, dd form 2249, dd2249, dd 2249

Form Preview Example

DOD BUILDING PASS APPLICATION

(PERMANENT)

OMB No. 0704-0328

OMB approval expires

The public reporting burden for this collection of information is estimated to average 6 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, Executive Services Directorate, Information Management Division, 1155 Defense Pentagon, Washington, DC 20301-1155 (0704-0328). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION. RETURN COMPLETED FORM TO THE BUILDING PASS OFFICE TO WHICH YOU ARE APPLYING.

PRIVACY ACT STATEMENT

AUTHORITY: 5 U.S.C. 301; EO 12356; EO 9397.

PRINCIPAL PURPOSES: To facilitate verification of background investigations for individuals applying for access to DoD buildings in connection with their official duties.

ROUTINE USES: Information may be furnished to Federal, state, or local agencies for regulatory and law enforcement purposes.

DISCLOSURE: Voluntary; however, refusal to furnish requested information may result in inability to verify essential personal information and approve requested building pass application.

1.

NAME OF APPLICANT

 

 

a.

LAST

 

b. FIRST

 

 

 

 

 

c.MIDDLE INITIAL

2a. SOCIAL SECURITY NUMBER

b.DATE OF BIRTH (YYYYMMDD)

3. BACKGROUND INVESTIGATION DATA

 

YEAR

MONTH

 

YEAR

MONTH

 

(1)

(2)

 

(1)

(2)

 

 

 

 

 

 

a. BACKGROUND INVESTIGATION

 

 

b. NATIONAL AGENCY CHECK OR

 

 

 

 

SPECIAL AGENCY CHECK

 

 

COMPLETED

 

 

 

 

 

 

COMPLETED

 

 

 

 

 

 

 

 

 

 

 

 

 

4. EMPLOYMENT CATEGORY (X one)

 

a.

GOVERNMENT

 

c. CONTRACTOR

 

 

 

 

 

 

b.

FOREIGN

 

d. PRESS

 

 

 

 

 

e.DOES THE APPLICANT NEED TO ESCORT OTHERS TO PERFORM HIS OR HER DUTIES? (X one)

(1)ESCORT

(2)NO ESCORT

5. BUILDING ACCESS REQUESTED (X one)

a.PENTAGON

b.NCR

(Complete Item 6)

c.OTHER (Specify)

d.ACCESS HOURS (X one)

(1)24 HOUR ACCESS

(2)BUSINESS HOURS ONLY

6.JUSTIFICATION FOR NCR ACCESS (List buildings which require 24/7 access.)

7. PASS INFORMATION

a.EXPIRATION DATE OF NEW PASS (YYYYMMDD)

b. REASON FOR ISSUANCE (X one)

 

(1) INITIAL ISSUE

 

(2) RENEWAL

 

(3) NAME CHANGE

 

 

 

 

 

 

8. AUTHORIZED/REQUESTING OFFICIAL

a.NAME (Last, First, Middle Initial)

b.TELEPHONE NUMBER (Include area code)

c. SIGNATURE

d. DATE SIGNED (YYYYMMDD)

DD FORM 2249, 20081031 DRAFT

PREVIOUS EDITION IS OBSOLETE.

Adobe Professional 8.0

DOD BUILDING PASS APPLICATION (TEMPORARY/NCIC REQUEST)

9.

NAME OF APPLICANT

 

 

 

 

 

 

a.

LAST

b. FIRST

c. MIDDLE INITIAL

 

 

 

 

10.

SOCIAL SECURITY NUMBER

11a. DATE OF BIRTH (YYYYMMDD)

b. COUNTRY

 

 

 

 

12.

PHYSICAL DESCRIPTION (This data is requested for identification purposes only, and is not a factor in determining eligibility.)

 

 

 

 

a. RACE (Mark one or more)

 

 

(1) AMERICAN INDIAN OR ALASKA NATIVE

 

 

(4) HISPANIC OR LATINO

 

 

(7) OTHER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(2) ASIAN

 

 

 

 

 

 

 

(5) NATIVE HAWAIIAN OR

 

 

 

 

 

 

 

 

 

 

 

 

OTHER PACIFIC ISLANDER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(3) BLACK OR AFRICAN AMERICAN

 

 

 

 

(6) WHITE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b. SEX (X one)

 

 

 

 

 

c. HEIGHT (Inches)

 

d. WEIGHT (Pounds)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1) MALE

 

 

(2) FEMALE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13.

IS APPLICANT A U.S. CITIZEN? (X one)

 

c. IF "NO," INDICATE IMMIGRATION NUMBER AND

 

d. EXPIRATION DATE

 

 

 

 

 

 

 

 

 

COUNTRY

 

 

 

 

 

(YYYYMMDD)

 

 

a. YES

 

 

b. NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14.

BACKGROUND INVESTIGATION DATA

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YEAR

 

 

MONTH

 

 

INITIALS

 

 

 

 

 

 

 

 

 

(1)

 

 

(2)

 

 

(3)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a. BACKGROUND INVESTIGATION

 

 

 

 

 

 

 

 

 

 

 

(BI) INITIATED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b. NATIONAL AGENCY CHECK (NAC)/

 

 

 

 

 

 

 

 

 

 

 

SPECIAL AGENCY CHECK (SAC) INITIATED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

c. BI COMPLETED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

d. NAC/SAC COMPLETED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

e. NCIC COMPLETED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15. EMPLOYMENT CATEGORY (X one)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a. GOVERNMENT

 

 

 

c. CONTRACTOR

 

 

 

 

 

(1) 24 HOUR

 

 

 

 

 

 

 

 

 

 

 

 

 

e. ACCESS HOURS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(X one)

 

 

 

 

 

 

b. PRESS

 

 

 

d. PENTAGON RENOVATION

 

 

 

(2) BUSINESS HOURS ONLY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16. BUILDING ACCESS REQUESTED (X one)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a. PENTAGON

 

 

 

 

 

c. DOES THE APPLICANT NEED

 

 

(1) ESCORT

 

 

 

 

 

 

 

 

TO ESCORT OTHERS TO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b. OTHER (Specify)

 

 

 

 

 

 

PERFORM HIS OR HER

 

 

(2) NO ESCORT

 

 

 

 

 

 

 

 

DUTIES? (X one)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17. PASS INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a. EXPIRATION DATE OF NEW PASS

b. REASON FOR ISSUANCE (X one)

 

 

 

 

(YYYYMMDD)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1) INITIAL ISSUE

 

 

(2) RENEWAL

 

 

(3) NAME CHANGE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

18. AUTHORIZED/REQUESTING OFFICIAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a. NAME (Last, First, Middle Initial)

 

 

 

 

 

 

 

 

b. TELEPHONE NUMBER (Include area code)

 

 

 

 

 

 

 

 

 

 

 

 

 

c. SIGNATURE

 

 

 

 

 

 

 

 

 

 

d. DATE SIGNED (YYYYMMDD)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DD FORM 2249 (BACK), 20081031 DRAFT

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1. It's essential to complete the her dd 2249 properly, hence take care when filling out the segments including all of these fields:

Completing section 1 of form 2249 dod

2. Just after finishing the previous step, go on to the next stage and complete the necessary details in these fields - a EXPIRATION DATE OF NEW PASS, b REASON FOR ISSUANCE X one, AUTHORIZEDREQUESTING OFFICIAL, a NAME Last First Middle Initial, b TELEPHONE NUMBER Include area, INITIAL ISSUE, RENEWAL, NAME CHANGE, c SIGNATURE, d DATE SIGNED YYYYMMDD, DD FORM DRAFT PREVIOUS EDITION, and Adobe Professional.

INITIAL ISSUE, Adobe Professional, and NAME CHANGE inside form 2249 dod

3. Completing NAME OF APPLICANT, a LAST, b FIRST, c MIDDLE INITIAL, SOCIAL SECURITY NUMBER, a DATE OF BIRTH YYYYMMDD, b COUNTRY, PHYSICAL DESCRIPTION This data is, AMERICAN INDIAN OR ALASKA NATIVE, HISPANIC OR LATINO, OTHER, ASIAN, NATIVE HAWAIIAN OR OTHER PACIFIC, BLACK OR AFRICAN AMERICAN, and WHITE is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

form 2249 dod conclusion process detailed (portion 3)

When it comes to NATIVE HAWAIIAN OR OTHER PACIFIC and WHITE, ensure you don't make any errors here. These could be the key ones in the file.

4. To move onward, this fourth form section involves typing in several blanks. These include a BACKGROUND INVESTIGATION BI, b NATIONAL AGENCY CHECK NAC, c BI COMPLETED, d NACSAC COMPLETED, e NCIC COMPLETED, EMPLOYMENT CATEGORY X one, a GOVERNMENT, c CONTRACTOR, e ACCESS HOURS X one, HOUR, b PRESS, d PENTAGON RENOVATION, BUSINESS HOURS ONLY, BUILDING ACCESS REQUESTED X one, and a PENTAGON, which are fundamental to carrying on with this process.

e NCIC COMPLETED, b PRESS, and d PENTAGON RENOVATION of form 2249 dod

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Step no. 5 in filling in form 2249 dod

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