University of Hawai’i Office of Export Controls Export Controls Visitor Screening Form Instructions: This form is required for visitors (non-UH/RCUH employees or students) to access export-controlled areas of the University of Hawai`i (UH). Complete this form and send to the UH Office of Export Controls (UH OEC) (http://www.hawaii.edu/offices/export/) well in advance of a planned visit, so a determination can be made regarding export control compliance requirements prior to the visit. Do not allow the visit to take place until after the UH OEC makes a determination and contacts you with instructions. For questions concerning export control regulations, contact the UH OEC and refer to specific instructions in the Export Control Program Guidelines at http://www.hawaii.edu/offices/export/guidelines.pdf. Required information about visitor (one per form): Name Organization Country of Birth Date of Birth Country of Citizenship Required information about the visit: Date of Visit Purpose of the Visit Name of the Host Locations of the Visit (campus, building, room numbers, etc.) UH Project-Specific Technology Control Plan (PSTCP) Number or Site Specific Technology Control Plan (SSTCP) Number Submitted by: ________________________ (name of faculty/staff member who is hosting visit) Date: _________________