This section establishes the primary guest identity, accompanying party composition, and all authorized liaison personnel. Accuracy is critical for security vetting and protocol adherence.
Primary Guest Full Legal Name
Primary Guest Official Title or Designation
Primary Guest Nationality
Primary Guest Date of Birth
Primary Guest Passport or Diplomatic ID Number
Issuing Country of Passport/ID
Does the primary guest hold diplomatic immunity status?
Specify Diplomatic Rank and Immunity Level (e.g., Full/Functional)
Is this guest designated as Ultra-High-Net-Worth (UHNW) by your institution?
Estimated Net Worth Category (in USD millions)
Accompanying Party Details: List all individuals traveling with the primary guest, including family members, personal staff, and security personnel.
Accompanying Party Roster
Full Name | Relationship/Role | Nationality | Date of Birth | Passport/ID Number | Requires Security Clearance? | Has Diplomatic Status? | ||
|---|---|---|---|---|---|---|---|---|
A | B | C | D | E | F | G | ||
1 | Maria Mendoza | Spouse | United Republic of Tanzanian | 7/12/1985 | DB7654321 | Yes | ||
2 | John Smith | Personal Security Officer | United Kingdom | 3/22/1978 | UK9876543 | Yes | ||
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Advance Party & Liaison Contacts: Provide details for all authorized representatives coordinating this stay. These individuals will receive operational updates and have authority to modify arrangements.
Authorized Liaison Personnel
Contact Name | Official Title | Organization | Email Address | Primary Phone Number | Secondary Phone Number | Authorization Level | 24/7 Availability? | ||
|---|---|---|---|---|---|---|---|---|---|
A | B | C | D | E | F | G | H | ||
1 | David Chen | Chief of Protocol | Embassy of Tanzania | d.chen@tzembassy.org | +1-202-555-0100 | +1-202-555-0199 | Full Decision Authority | ||
2 | Amara Okafor | Executive Assistant | Mendoza Global Holdings | a.okafor@mendozaglobal.com | +1-212-555-0234 | Recommendations Only | |||
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Expected Arrival Date & Time
Expected Departure Date & Time
Primary Purpose of Visit & Key Activities
Has this guest stayed with your property previously?
Provide previous stay dates, room preferences, and any notable incidents or special requests from past visits
Cultural or Religious Protocols to Observe (select all that apply)
Islamic Halal Requirements
Jewish Kosher Requirements
Hindu Dietary Restrictions
Buddhist Observances
Gender-Specific Service Staff Preferences
Prayer Room Requirements
Religious Artifact Handling Protocols
Specific Greeting Customs
None
Additional Guest Profile Notes & Special Considerations
This section defines all security measures to be implemented on property. Complete all details to ensure appropriate physical and cyber protection protocols are activated.
Overall Security Threat Level Assessment
Low (Standard VIP Protocol)
Medium (Enhanced Monitoring)
High (Dedicated Security Detail)
Critical (Maximum Protection Protocol)
Justification for High Threat Level: Describe specific threats, intelligence reports, or risk factors
Critical Threat Assessment: Provide detailed threat analysis and origin
Does the guest require a dedicated secure floor or wing buyout?
Number of adjacent rooms to be reserved for security buffer
Are specific room location preferences required for security reasons?
Select required room characteristics
Top floor only
Corner suite configuration
Proximity to emergency exit (not adjacent)
Away from public areas
Direct elevator access
Balcony with surveillance visibility
No interconnecting doors
Reinforced door and frame
Will the guest's security team conduct advance physical sweeps of rooms and public areas?
Specify sweep requirements, equipment to be used, and areas requiring access
Is elevator lockdown or private elevator access required?
Elevator Control Scope
Dedicated elevator car for exclusive guest use
Floor access restricted to key cards only
Security escort required for all elevator usage
Full elevator bank shutdown during guest movement
Are biometric access controls required for guest room or secure areas?
Required biometric modalities
Fingerprint recognition
Iris/Retinal scan
Facial recognition
Voice authentication
Palm vein recognition
Does the guest require installation of a certified safe or SCIF (Sensitive Compartmented Information Facility) equivalent?
Specify safe/SCIF certification level, size requirements, and installation timeline
Are there specific CCTV surveillance requirements or privacy zones?
Surveillance Configuration Matrix
Area/Location | CCTV Coverage Required? | Privacy Zone (No Recording)? | Live Monitoring Required? | Retention Period (Days) | ||
|---|---|---|---|---|---|---|
A | B | C | D | E | ||
1 | Guest Room Corridor | Yes | Yes | 30 | ||
2 | Guest Room Interior | Yes | 0 | |||
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Will the guest require isolated or air-gapped digital networks?
Digital Security Requirements
Dedicated private WiFi network (isolated from property network)
Wired ethernet access only (no wireless)
VPN tunnel termination within guest's secure network
All devices subject to TSCM screening
No property-issued devices permitted in secure areas
Faraday bag storage for mobile devices in meeting rooms
Are there device screening or signal jamming protocols to be implemented?
Describe device restrictions, screening procedures, and authorized equipment list
Will the guest's security team maintain an on-site command post?
Specify command post location requirements, power needs, communication lines, and access protocols
Are secure communication lines (STU, STE, or equivalent) required?
Specify encryption standards, number of lines, and installation requirements
Will external security personnel be embedded within property staff?
Number of external security personnel requiring staff credentials and access
Emergency Response Protocols to Pre-Stage (select all that apply)
On-site medical team with trauma kit
Firearms response team
Chemical/Biological/Radiological (CBR) detection
Bomb detection canine unit
Emergency evacuation helicopter landing zone
Secure medical evacuation vehicle
Crisis communication hotline
None
Are there specific vehicle security requirements for on-site parking?
Vehicle Security Measures
Armored vehicle storage in secure garage
24/7 vehicle surveillance
Anti-tamper seals on vehicles
Dedicated parking zone with access control
Engine block heater inspection protocol
Fuel quality testing
Additional Physical or Digital Security Notes
This section captures highly personalized guest requirements concerning health, nutrition, confidentiality, and service preferences. All information is subject to strict need-to-know access controls.
Does the guest have any life-threatening food allergies?
Critical Allergy & Anaphylaxis Protocol
Allergen | Reaction Severity | Required Emergency Medication | Medication Location (if guest-provided) | Requires Chef to be Present at All Meals? | ||
|---|---|---|---|---|---|---|
A | B | C | D | E | ||
1 | Shellfish | Anaphylaxis | Epinephrine auto-injector | Guest carries at all times | Yes | |
2 | Peanuts | Severe respiratory distress | Albuterol inhaler + antihistamine | Room safe, code 1234 | ||
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Dietary Regimen & Restrictions (select all that apply)
Strict Halal (certified supplier required)
Strict Kosher (certified supplier required)
Vegetarian (lacto-ovo)
Vegan (no animal products)
Pescatarian
Gluten-Free (celiac-safe)
Dairy-Free
Nut-Free Environment
Low Sodium (<1500mg/day)
Diabetic (carb-controlled)
Raw food only
Organic only (certified)
No processed foods
Fasting observance (specify schedule)
Other
Does the guest require a dedicated personal chef or kitchen facility?
Specify kitchen requirements, equipment needs, and food sourcing protocols
Are there specific water or beverage requirements?
Beverage Specifications
Specific brand of bottled water only
Filtered water (0.2 micron)
Sparkling water (specific brand)
Organic wine/spirits only
No alcohol permitted on floor
Fresh-pressed juice (cold-pressed)
Herbal tea collection (caffeine-free)
Coffee from single-origin beans
None
Does the guest or any party member have significant medical conditions requiring on-site support?
Medical Condition & Support Matrix
Patient Name | Medical Condition | Requires 24/7 Medical Attendant? | Required Medical Equipment | Personal Physician Contact | Preferred Hospital/Facility | ||
|---|---|---|---|---|---|---|---|
A | B | C | D | E | F | ||
1 | Maria Mendoza | Type 1 Diabetes | Insulin pump, continuous glucose monitor | Dr. Sarah Johnson +1-202-555-0147 | Johns Hopkins Hospital | ||
2 | John Smith | Hypertension | Portable blood pressure monitor | Dr. Michael Lee +1-212-555-0890 | Mount Sinai Medical | ||
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Are prescription medications being transported that require refrigeration or special handling?
List medications, storage requirements, and security protocols
Does the guest require a private medical examination room or telemedicine setup?
Specify room requirements, equipment, and connectivity needs
Are there fragrance, floral, or environmental sensitivities?
Environmental Controls Required
No fresh flowers or plants
Hypoallergenic bedding only
HEPA air filtration (medical grade)
No scented cleaning products
No aerosol sprays
Specific room temperature range (specify)
Humidity control (40-60%)
Chemical-free dry cleaning only
Does the guest require Non-Disclosure Agreements (NDAs) for all property staff?
Specify NDA scope, legal jurisdiction, and staff categories covered
Are there specific privacy blackout periods where no staff entry is permitted?
Privacy Blackout Schedule
Start Time | End Time | Reason | Security Monitoring Continues? | Emergency Access Only? | ||
|---|---|---|---|---|---|---|
A | B | C | D | E | ||
1 | 10:00 PM | 7:00 AM | Overnight privacy | Yes | Yes | |
2 | 2:00 PM | 4:00 PM | Private meetings | Yes | Yes | |
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Does the guest have preferences regarding housekeeping staff gender, timing, or identity consistency?
Detail housekeeping service restrictions and preferences
Are there restrictions on minibar contents or in-room amenities?
Prohibited Items
Alcohol of any kind
Pork products
Beef products
Caffeinated beverages
Plastic bottles
Non-organic snacks
Political publications
None
Does the guest require daily newspaper or media curation?
Specify publications, languages, and delivery method
Are there communication screening protocols for phone calls or messages?
Describe call/message filtering, logging restrictions, and privacy measures
Additional Dietary, Medical, or Privacy Protocol Notes
This section details all movements outside the property, including arrival/departure logistics, daily schedules, contingency plans, and emergency protocols. Complete accuracy is essential for security coverage and risk mitigation.
Primary Mode of Arrival
Commercial Airline (First/Business Class)
Private Jet (Fixed Base Operator)
Private Jet (Commercial Terminal)
Helicopter
Maritime (Private Yacht)
Armored Ground Transport (Cross-Border)
Other
FBO Location and Tail Number
Airport, Terminal, and Tail Number
Helipad Location and Tail Number
Marina Name and Vessel Registration
Is a secure ground transportation motorcade pre-arranged?
Ground Transportation & Route Details
Vehicle Type | License Plate | Security Level | Route Origin | Route Destination | Estimated Duration | Alternative Route Pre-Scouted? | ||
|---|---|---|---|---|---|---|---|---|
A | B | C | D | E | F | G | ||
1 | Armored SUV (B7) | XYZ-1234 | High | FBO Teterboro | Property Main Entrance | 12:45 AM | Yes | |
2 | Sedan (Decoy) | ABC-5678 | Standard | Property | Business Meeting Venue | 12:20 AM | Yes | |
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Will the guest be visiting multiple off-site locations during their stay?
Daily Itinerary & Location Schedule
Date | Departure Time | Destination Name | Destination Address | Activity/Purpose | Return Time | Advance Security Sweep Required? | Secure Communication Setup Required? | ||
|---|---|---|---|---|---|---|---|---|---|
A | B | C | D | E | F | G | H | ||
1 | 7/15/2025 | 9:00 AM | United Nations Headquarters | 760 United Nations Plaza | Diplomatic Meeting | 4:00 PM | Yes | Yes | |
2 | 7/15/2025 | 7:30 PM | The Metropolitan Museum of Art | 1000 5th Avenue | Private Gala | 11:00 PM | Yes | ||
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Are contingency safe houses or alternative accommodations identified?
Contingency Location Matrix
Contingency Type | Location Name | Address | Distance from Property | Pre-Secured? | Activation Trigger | ||
|---|---|---|---|---|---|---|---|
A | B | C | D | E | F | ||
1 | Safe House Alpha | Diplomatic Residence | Confidential | 2.3 km | Yes | Threat Level escalation to Critical | |
2 | Medical Facility | Specialist Hospital | Confidential | 5.1 km | Yes | Medical emergency requiring specialized care | |
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Are local emergency services (police, fire, medical) pre-briefed on guest presence?
Specify which agencies are notified, liaison officers, and confidentiality protocols
Does the guest have preferred vendors or establishments for off-site dining, shopping, or services?
Pre-Approved Vendor List
Vendor Name | Service Type | Address/Location | Security Pre-Screened? | Primary Contact | Requires Discrete Billing? | ||
|---|---|---|---|---|---|---|---|
A | B | C | D | E | F | ||
1 | Le Bernardin | Fine Dining | 155 W 51st St | Yes | Chef Eric Ripert | Yes | |
2 | Bergdorf Goodman | Personal Shopping | 754 5th Ave | Yes | Personal Shopper Team | Yes | |
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Is a helicopter evacuation plan established for medical or security emergencies?
Specify landing zone coordinates, helicopter provider, and medical crew specifications
Will the guest require satellite phone or emergency beacon devices while off-property?
List devices, frequencies, and monitoring protocols
Are there specific communication check-in protocols during off-site movements?
Describe check-in frequency, methods, and escalation procedures if contact is lost
Will there be any maritime or waterfront activities requiring security coverage?
Detail vessel security, waterborne patrols, and dive team requirements
Are there cultural or religious sites that must be visited with specific protocols?
List sites, required protocols, and liaison contacts
Additional Off-Property Transit & Contingency Notes
This final section requires executive authorization and risk acceptance. All previous sections must be reviewed before completing approvals. This form serves as a legally binding operational directive.
Has a comprehensive threat and risk assessment been completed for this guest stay?
Upload Risk Assessment Document (PDF, max 50MB)
Executive Risk Evaluation: Rate the following risk categories based on completed assessment
Negligible | Low | Medium | High | Critical | |
|---|---|---|---|---|---|
Physical Security Risk to Guest | |||||
Property Reputation Risk | |||||
Staff Safety Risk | |||||
Information Security/Cyber Risk | |||||
Compliance & Legal Risk | |||||
Financial Risk (cost overruns) |
Do any of the security requirements exceed standard property capabilities or policies?
Exception Approvals Required
Exception Description | Policy/Standard Waived | Insurance Notification Required? | Legal Review Completed? | Additional Cost Impact | Approved by GM? | Approved by CSO? | ||
|---|---|---|---|---|---|---|---|---|
A | B | C | D | E | F | G | ||
1 | Floor Buyout (Entire 50th Floor) | Standard Occupancy Policy | Yes | Yes | $75,000.00 | |||
2 | External Armed Security on Property | No Weapons Policy | Yes | Yes | $0.00 | |||
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Has the estimated total security and concierge cost been reviewed and budget-approved?
Total Approved Budget for Guest Stay (USD)
Are there any diplomatic or government clearances required that are still pending?
Specify pending clearances, expected receipt dates, and contingency plans
Has a post-stay debrief and intelligence sharing protocol been established?
Detail debrief participants, information classification, and distribution list
Is there a media or public relations management plan in place for this stay?
Describe PR strategy, spokesperson designation, and statement templates
I, as General Manager, have reviewed all sections of this intake form, confirm that all information is accurate to the best of my knowledge, and accept full operational responsibility for this guest stay.
General Manager Digital Signature
General Manager Full Name
General Manager Approval Timestamp
I, as Chief Security Officer, have reviewed all security requirements, completed threat assessment, and approve the implementation of all stated security protocols. I accept full security responsibility for this guest stay.
Chief Security Officer Digital Signature
Chief Security Officer Full Name
Chief Security Officer Approval Timestamp
Is this stay subject to external regulatory or governmental oversight reporting?
Specify reporting requirements, agencies, and information sharing constraints
Upload Supporting Documentation (insurance waivers, diplomatic notes, special permits)
Final Approval Notes & Special Directives
To configure an element, select it on the form.