DHS Form 11052-1 at a glance
What it is: DHS Form 11052-1 is the Department of Homeland Security Foreign National Visitor Access Request, which visitor hosts submit to support visits by foreign nationals to DHS facilities and personnel.
Where and when to file: Visitor hosts shall submit this form to DHS element Foreign Visit representatives 30 days in advance of a visit (30 days or less) or 60 days in advance of an assignment (31 days or more).
This form shall be filled out for each visitor (including drivers, interpreters, etc.) and each program to be visited.
A foreign national is defined as a person who is not a citizen or national of the United States.
A filled-in DHS Form 11052-1 example: a host requests a visit for a visa holder
How to fill out DHS Form 11052-1, box by box
Name of visitor, date of birth, birth and citizenship
Enter the NAME OF VISITOR (LAST, FIRST, MIDDLE) and the GENDER.
Enter the DATE OF BIRTH as MM-DD-YY.
Enter the CITY AND COUNTRY OF BIRTH.
Enter the COUNTRY(IES) OF CITIZENSHIP.
Green card
For GREEN CARD, mark Yes or No.
If GREEN CARD is Yes, enter the GREEN CARD EXPIRATION DATE as MM-DD-YY and the LAWFUL PERMANENT RESIDENT NUMBER.
Social security number, visa and passport
Enter the SOCIAL SECURITY NUMBER, the VISA TYPE and the VISA NUMBER.
Enter the VISA EXPIRATION DATE as MM-DD-YY.
Enter the PASSPORT COUNTRY OF ISSUE, the PASSPORT NUMBER and the PASSPORT EXPIRATION DATE as MM-DD-YY.
Employer, job title and contact number
Enter the CURRENT EMPLOYER / DIVISION / OFFICE and the TYPE OF BUSINESS/ORGANIZATION.
Enter the EMPLOYER ADDRESS (STREET, CITY, STATE, ZIP CODE, COUNTRY) and the EMPLOYER PHONE NUMBER.
Enter the VISITOR JOB TITLE / POSITION and the VISITOR CONTACT NUMBER.
More rules for DHS Form 11052-1
If the visit may involve sharing or disclosure of classified information, the host must contact the DHS Foreign Disclosure Officer prior to the visit for guidance.
Visitor hosts shall be notified upon approval or disapproval of the visit.
Failure to provide it may impact planned visits.
Common questions about DHS Form 11052-1
Is there a deadline?
Submit it 30 days in advance of a visit (30 days or less) or 60 days in advance of an assignment (31 days or more).
Where do I file it?
Visitor hosts shall submit this form to DHS element Foreign Visit representatives.
Sources
[1] DHS Form 11052-1 (07/05), Foreign National Visitor Access Request, Department of Homeland Security (the Official source link on this page).