7--9- Exhibit A- Security Access Application and Instructions..pdf
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- Solicitation number
- SLCo FAC133242 ADC Heat Exchangers – Final Phase- CONST
- Issued by
- Utah
About this file
This document is a Security Access Application and Instructions form issued by the Salt Lake County Sheriff's Office for individuals requiring access to the county's detention facility in connection with the ADC Heat Exchangers construction project. The application requires applicants to provide complete personal information, employment details, and authorization for a criminal background check conducted by Sheriff's Office personnel. Applicants must submit a legible color scan of their driver's license front, a wet or digital signature, and complete all five sections of the form. The Sheriff's Office Sponsor listed is either Marco Morley or Lieutenant Chris Hansen, with the Facilities Division serving as the designated office division. Applications can be submitted via email to ADC-lobby@saltlakecounty.gov, cphansen@saltlakecounty.gov, or mmorley@saltlakecounty.gov, or hand-delivered to the jail administration security desk. Application processing takes up to five business days, and incomplete or falsified information will result in rejection.
Access authorization is granted or denied based on background check results and compliance with jail security policies. The form provides options for multiple access levels including Temporary/Tour access, Incidental access (up to 2 years), Regular access (2 years), and Doctor access (2 years). Applicants with LIMITED-TERM or DRIVING PRIVILEGE CARDS must submit an Employment Authorization card with their application. If access is denied, applicants may appeal the decision by communicating with the security officer. The form is retained for one year per GRAMA (Government Records Access and Management Act) requirements and includes internal review checkpoints and signature lines for Sheriff's Office security personnel, administrative staff, and appropriate supervisory officials.
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Text version
Security Access Application Instructions
This form must be filled out accurately and completely to determine what access may be authorized. Incomplete or falsified information may result in the application being rejected.
Submission of a form does not imply access will be approved. Application processing may take up to five (5) business days to complete.
1. Please fill out this form in its entirety
Section 1 - “Social security #” is not required but helpful
Section 2 - “Sheriff Sponsor” is Marco Morley or LT. Chris Hansen
“Sheriff Office Division” is Facilities Division.
Section 3 - Background check performed
Section 4 - Please include a legible color copy of the front of your driver’s license for submittal. Please do not send a picture of your DL. Please scan a color copy.
Section 5 - Please “wet or digitally Sign” the document
2. Do not send a picture of this application. It will not be accepted.
3. Please send the application and the DL together in the same email. This will help us submit it correctly.
4. If the applicant has a "LIMITED-TERM or DRIVING PRIVELEDGE CARD" an Employment authorization card must be included with the application when submitted.
5. You may turn this application in at the jail administration security desk or you can email it to the following addresses:
ADC-lobby@saltlakecounty.gov cphansen@saltlakecounty.gov mmorley@saltlakecounty.gov
6. If there is a denial, you or your management team will be notified. If you disagree with the “denial for access” you may appeal the decision by communicating with the security officer and will be given instructions on the process of appeal.
mailto:ADC-lobby@slco.org mailto:cphansen@SLCO.org mailto:mmorley@slco.org
Revised July 2025 GRAMA - Public Retention - 1 YR
Section 1: Personal Information:
First Name: Middle Name: Last Name:
Maiden / Alias:
Date of Birth: Driver’s License #: DL State: Social Security #:
Gender: Ethnicity: Height: Weight: Hair: Eyes:
Email: Personal Contact Number: Home Address:
Section 2: Access Reason / Employment:
Reason Access Requested:
Employer: Supervisor:
City / State / ZIP:
Contact Number: Email:
Sheriff’s Office Sponsor: Sheriff’s Office Division:
Section 3: Background Information:
As part of the application process, a criminal background check will be conducted. Access to the facility will be granted or denied based on the results of this background check and in accordance with jail policies and security protocols.
Section 4: Driver’s License Copy:
Section 5: Signature:
By signing below you consent to and understand a background check will be performed by Sheriff’s Office personnel to verify the information above.
***JAIL SECURITY DIVISION USE ONLY***
Section Complete Check Result Decisions Yes / No Section 1 SO# ASU Deputy Section 2 CHQL Signature Section 3 DLQL Security Lt.
Section 4 QSWL Signature Section 5 OTRKL Appeal Date Date Received QH2 Captain Date Completed QW1 Signature
***ADMINISTRATION USE***
Access Level Approved Term Support Notified Investigations Notified Temporary / Tour Days:
Incidental 1 Year Regular 1 Year Doctors 1 Year
Notes:
This form must be filled out accurately and completely to determine what access may be authorized. Incomplete or falsified information may result in the application being rejected. Submission of a form does not imply access will be approved. Application processing may take up to five (5) business days to complete.
Signature: Date:
| Security Access Application2.pdf |
| Security_Access_Application_and_Instructions (002).pdf |
| Security Access Application Instructions |
| Security Access Application Instructions |
| Jail Security Access Application.pdf |
| Section 1: Personal Information: |
| Section 2: Access Reason / Employment: |
| Section 4: Driver’s License Copy: |
| First Name: |
| Middle Name: |
| Last Name: |
| Maiden Alias: |
| Date of Birth: |
| Drivers License: |
| DL State: |
| Social Security: |
| Gender: |
| Height: |
| Hair: |
| Eyes: |
| Email: |
| Personal Contact Number: |
| Home Address: |
| City State ZIP: |
| Reason Access Requested: |
| Employer: |
| Supervisor: |
| Contact Number: |
| Email_2: |
| Sheriffs Office Sponsor: |
| Sheriffs Office Division: |
| Section 4 Drivers License Copy: |
| CompleteSection 1: |
| ResultSO: |
| Yes NoASU Deputy: |
| CompleteSection 2: |
| ResultCHQL: |
| Yes NoSignature: |
| CompleteSection 3: |
| ResultDLQL: |
| Yes NoSecurity Lt: |
| CompleteSection 4: |
| ResultQSWL: |
| Yes NoSignature_2: |
| CompleteSection 5: |
| ResultOTRKL: |
| Yes NoAppeal Date: |
| CompleteDate Received: |
| ResultQH2: |
| Yes NoCaptain: |
| CompleteDate Completed: |
| ResultQW1: |
| Yes NoSignature_3: |
| ApprovedTemporary Tour: |
| Support NotifiedDays: |
| Investigations NotifiedDays: |
| ApprovedIncidental: |
| Support Notified2 Years: |
| Investigations Notified2 Years: |
| ApprovedRegular: |
| Support Notified2 Years_2: |
| Investigations Notified2 Years_2: |
| ApprovedDoctors: |
| Support Notified2 Years_3: |
| Investigations Notified2 Years_3: |
| Text3: |
| Text4: |
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