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Morale, Well-Being & Recreation (MWR) Branch

Novato Temporary Quarters Reservation Request Form

All applicants must read the privacy act statement and the statement of understanding and indicate they have read it. All applicants will be required to sign an acknowledgement of understanding upon checking in.

Privacy Act Statement

In accordance with the 5 USC 522 (E) (3), the following information is provided to you when providing personal information to the U.S. Coast Guard:

Authority which Authorized Solicitation of the Information: 14 USC 2.

Principle Purpose for which Information is intended to be used:
  • Provides the administrator with the number of persons intending to use the facility so that a convenient time of use can be scheduled.
  • Provides the administrator with the inclusive date of intended occupancy. The information is necessary for scheduling and assignment of periods of occupancy.
  • Provides information to determine and ensure that those seeking to use the facility are, in fact, eligible to use the facility in accordance with current directives.
  • Provides a record of who is using the facility at what time for purposes of emergency contact and assessing any damage to the facility.
  • Provides a listing of all occupants at the facility at any given time for safety reasons in case of fire and other emergencies which require the evacuation of the building.
  • The routine use of the information is for the evaluation within the Base Alameda Morale, Well-Being, and Recreation Department to determine eligibility for use of the facility and the scheduling of same, assessment of any damage to the facility and return lost items to the owners.

Disclosure of this information is voluntary and not required.  However, failure to provide may result in cancellation of the request.

Statement of Understanding

In consideration for the use of the facility, I agree to the following payment in accordance with the current rental rate schedule:
  • I understand that the U.S. Government is not liable for any accident that might occur while my family, dependents and/or guests occupy the facility;
  • I agree to leave the facility in a clean and neat condition ready for the next occupant;
  • I understand that I will be held liable for all damages to the facility caused by my family, dependents, and/or guests.
  • I understand and agree to the requirements of ISCALANOTE 1710 concerning the use of the facilities.
  • I understand that NO PETS are allowed in most units.  Pre authorization REQUIRED. 
  • I understand that smoking is restricted to the designated smoking areas near the building.

Any "collection of information" as defined in the Paperwork Reduction Act of 1995 (codified at 44 U.S.C. 3501 et seq) on this webpage has not been approved by the Director of the Office of Management and Budget (OMB) and does not display a valid control number assigned by the Director. Therefore, no person shall be subject to any penalty for failing to comply with any such collection of information.

RESERVATION REQUEST FOR NOVATO TEMPORARY QUARTERS

   
(e.g. E7, O3, GS9, etc.):
 
  Two bedroom Apartments - minimum 5 night stay.
Duplex requires a 7 night min. stay.
 

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Last Modified 7/30/2012