5. BAL Template 21 SEP 2022.docx

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Attached to
Install Troopwalk Lighting Federal contract opportunity
Solicitation number
FA303023Q0032
Issued by
Department of the Air Force Air Education and Training Command

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CUI

DEPARTMENT OF THE AIR FORCE

17TH Training Wing (AETC) Goodfellow Air Force Base Texas

DD Month YYYY

MEMORANDUM FOR 17 SFS/S5

FROM: 17 XXX/XXX (Your office symbol)

SUBJECT: Request Unescorted Base Access Pass

I am sponsoring the following Non-ID card holding guest requiring Unescorted access to the base for (state official purpose, i.e. briefing animal safety, construction work, etc..).

CompanyType of ServicesContract#Site Visiting FPCON
Name of Business What does the business do? N/A if noneBuilding # or #’s B, C, D or B/C

The following contractor or guest will need periodic access to deliver lumber to the building. (Just an example…state your particular needs) Name DOB State/DL or ID# Last 4 SSN Date(s) of Entry Days/Hours Public, John Q. 20 Apr 1933 TX 12345678 0000 10 May – 15 Jun 2019 Mon – Thurs/0700-1500 I will ensure Mr. Public is briefed that only properly licensed visitors, appropriately covered by vehicle insurance, will operate a vehicle on Goodfellow AFB. Authorized vehicle operators will have in their possession a valid driver’s license, current vehicle registration and a valid insurance certificate at all times when operating a vehicle on the installation.

Upon completion or termination of this visitor request, I will ensure his pass is returned to the Visitor Control Center.

5. If you have any questions, please contact me at (325) 654-1234 and at cell phone number (325) 000-0000. (Your contact number must include your office number and cell phone number)

FIRST MI. LAST, Major, USAF
Commander

Controlled by: (Office creating doc) CUI Category: PRVCY Limited Dissemination control: FEDCON POC: (Person Creating Doc and phone number)

Ever Into Danger

CUI

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