Routing lines
The 2 business days notice, and the e-mail address and fax number for collateral clearance requests and for SCI access requests.
GSA6102
Passing Visit Authorization Letter/Request
- Agency
- GSA
- Revision
- Rev. 2/2024
- Fillable fields
- 25
- Pages
- 1
- Official source
- GSA form page
- Checked
- October 20, 2026
GSA Form 6102: Passing Visit Authorization Letter/Request
GSA Form 6102, Passing Visit Authorization Letter/Request, is a General Services Administration (GSA) form, printed as GSA 6102 (REV. 2/2024). GSA hosts it in its forms library, and GSA's page lists OMA 1000.2 as its authority or regulation.
A requestor in a GSA organization uses it, with a supervisor's authorization, to ask that an individual's VAL/VAR be passed to an agency the individual will visit. The form says it must be submitted at least 2 business days prior to visit. Requests to pass a collateral clearance go by e-mail to [email protected] or by fax to (202) 219-0572, and requests to pass SCI accesses go to [email protected] or fax (202) 219-3254.
The form asks for the requestor and supervisor, the individual's identifying details, the visiting agency, the dates and purpose of the visit, the clearance level, and the visiting agency's point of contact and security office. You can fill it out free in your browser on this page and download the result without an account.
What's on GSA Form 6102
Requestor and supervisor
Name of requestor, GSA organization, date of request, requestor's phone number, name of the supervisor authorizing action and the supervisor's signature.
The individual
Name of the individual who needs the VAL/VAR passed, e-mail address, SSN (last 4 digits), date of birth and place of birth.
Visit details
Visiting agency, its address, city, state and ZIP code, the dates of visit from and to, the purpose of visit, and the clearance level required, if applicable: Secret, Top Secret or TS/SCI.
Visiting agency contacts
The visiting agency POC's first and last name and phone number, and the visiting agency security office's phone number and e-mail address or fax number.
Privacy Act notice
Explains the authority for asking for the SSN and how it is used, and says disclosure is not mandatory.
The form is a single page.
How to complete GSA Form 6102
- 1
Fill in the requestor block
Enter the requestor's name, GSA organization, date of request and phone number.
- 2
Get the supervisor's authorization
Add the name of the supervisor authorizing the action and the supervisor's signature.
- 3
Complete every line below
The form says to complete the information below in its entirety, and that failure to complete all information may result in processing delays.
- 4
Mark the clearance level
If applicable, check Secret, Top Secret or TS/SCI under Clearance Level Required.
- 5
Send it to the right office
Collateral clearance: e-mail [email protected] or fax (202) 219-0572. SCI accesses: e-mail [email protected] or fax (202) 219-3254.
- 6
Allow 2 business days
The form says it must be submitted at least 2 business days prior to visit.
Why fill Form GSA6102 on indox
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
- Fill the form right in your browser, no software to install
- Free to fill and free to download, with no account
- The official blank straight from the GSA, not a copy someone retyped
- Works on a phone, tablet or computer
Where it goes and what the form says
Where it goes
Requests to pass a collateral clearance: e-mail [email protected] or fax (202) 219-0572. Requests to pass SCI accesses: e-mail [email protected] or fax (202) 219-3254.
Timing
The form says it must be submitted at least 2 business days prior to visit.
Privacy
The notice cites the Privacy Act, 5 U.S.C. 552a, and says the authority for soliciting the SSN is Executive Order 9397. It says disclosure of the SSN is not mandatory, but failure to provide it may impede the processing of clearance verifications and passing.
Authority and revision
GSA's page lists OMA 1000.2 as the authority or regulation and a current revision date of 02/2024. The form prints no OMB number.
Related forms
Who uses GSA Form 6102?
The form names a requestor, an authorizing supervisor, the individual being passed and the security offices that receive it.
Official sources and the blank
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Questions about Form GSA6102
Who issues GSA Form 6102?
The footer reads GENERAL SERVICES ADMINISTRATION and GSA 6102 (REV. 2/2024). GSA hosts it in its forms library, and GSA's page lists OMA 1000.2 as its authority or regulation.
How far ahead of the visit is it sent?
The form says it must be submitted at least 2 business days prior to visit.
Where is GSA Form 6102 sent?
Requests to pass a collateral clearance go to [email protected] or fax (202) 219-0572. Requests to pass SCI accesses go to [email protected] or fax (202) 219-3254.
Does the form ask for the full SSN?
No. It asks for the last 4 digits. The privacy notice says disclosure of the SSN is not mandatory, but failure to provide it may impede the processing of clearance verifications and passing.
Which clearance levels does it list?
Secret, Top Secret and TS/SCI, under Clearance Level Required (if applicable).
What if some lines are left blank?
The form says failure to complete all information may result in processing delays.