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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

With the authority of 10 USC 522 1146 and 14 USC 93, 487, the following information is provided to you when providing personal information to the U.S. Coast Guard:

Purpose:  To allow Morale, Well-being, and Recreation (MWR) eligible individuals to reserve USCG MWR facilities and equipment or participate in USCG MWR sponsored events, contest, or programs.

Routine Uses:  USCG MWR personnel will use this information to determine an individual's eligibility, validate reservations, and verify results of USCG MWR events. Any external data disclosures within this record will be made in accordance with DHS/USCG-018, Exchange System (CGES) and Morale, Well-being, and Recreation (MWR) Program, 73 Federal Register 77736, December 19, 2008.

Disclosure:  Furnishing this information is voluntary; however, failure to furnish this information may impede your reservation or MWR program entry.

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.
 

Last Modified 12/19/2014