7. Contractor Travel Request Form.pdf

ASCENSION TRAVEL REQUEST FORM

APACS COUNTRY/THEATER CLEARANCE REQUEST

(20250301)

1. REQUESTING ORGANIZATION:

A. ORGANIZATION CONTACT NAME:

B. ORGANIZATION LOCATION:

C. ORGANIZATION FAX NUMBER:

D. ORGANIZATION PHONE NUMBER:

E. ORGANIZATION EMAIL ADDRESS:

2. UNIT/FACILITY TO BE VISITED:

DETACHMENT 2, ASCENSION AUXILIARY AIRFIELD.

(1) AGENCY/FACILITY TO BE VISITED: 45 SLD DET 2

(2) LOCATION/ORGANIZATION VISITING: ASCENSION AUXILIARY AIRFIELD

(3) POINT OF CONTACT: ASCENSION AUXILIARY AIRFIELD, ADMIN ASSISTANT

(4) COMMERCIAL/DSN PHONE NUMBER: 321-494-1110 EXT 9, 962-2487

3. PROJECTED ON-SITE DATES:

A. DATE OF ASCENSION ISLAND ARRIVAL:

B. DATE OF ASCENSION ISLAND DEPARTURE:

4. PURPOSE OF VISIT (CONTRACT NUMBER):

5. PARTICULARS OF EACH VISITOR

A. FULL NAME (FIRST, MIDDLE, LAST (Jr, Sr)):

B. DATE OF BIRTH:

C. SSN:

D. GENDER:

E. NATIONALITY:

F. PASSPORT NUMBER: EXP DATE:

G. JOB TITLE/CLASSIFICATION:

H. PERSONAL EMAIL:

I. PERSONAL PHONE NUMBER:

J. TRAINING COMPLETION DATES:

(1) ANTI-TERRORISM LEVEL I (AT) (Completed within 12 months of travel):

(2) SERE 100.2 (CIVILIAN COURSE) (Completed within 36 months of travel):

(3) ISOPREP COMPLETION (Completed within 12 months of travel):

I. MEMBER HAS CONFIRMED THEY ARE MEDICALLY PREPARED FOR THE TRAVEL

DATES LISTED TO ASCENSION ISLAND IAW CORPORATE GUIDELINES (Y/N):

EACH TRAVEL REQUEST SHALL BE SUBMITTED A MINIMUM OF THIRTY (35) CALENDAR DAYS BEFORE THE REQUESTED TRAVEL DEPARTURE

DATE. FAILURE TO DO SO MAY RESULT IN REQUEST DENIAL BY THE APPLICABLE CLEARANCE AUTHORITY. EACH TRAVELER SHALL HAVE

COMPLETED ALL REQUIRED TRAINING AND CERTIFICATIONS AND IT IS THE CONTRACTOR'S RESPONSIBILITY TO KEEP CURRENT TRAINING

RECORDS FOR EACH TRAVELER.

WHEN FORM IS COMPLETED, PRIVACY ACT OF 1974 AS AMENDED APPLIES--THIS DOCUMENT CONTAINS INFORMATION WHICH MUST

BE PROTECTED IAW DOD 5400.11R, AFIS 33-119, 33-129, AND IS FOR OFFICIAL USE ONLY

CONTROLLED UNCLASSIFIED INFORMATION (CUI)

ASCENSION TRAVEL REQUEST FORM

APACS COUNTRY/THEATER CLEARANCE REQUEST

(20250301)

Training and Medical Information for Theater and Clearance.

(1) Level 1 Antiterrorism (AT) Awareness Training: Must be current and completed within 12 months (one (1) year) prior to entry into the AFRICOM AOR.

Level 1 AT Awareness Training is available on Joint Knowledge Online (JKO) https://jkodirect.jten.mil. Enroll in Course Number JS-US007.

Sponsor information to establish JKO Account. Name: Timothy R. Johnson. Official Email:

timothy.johnson@spaceforce.mil. U.S. Phone: 321-494-5451

JKO Help Desk, Monday - Friday 0700-1900 EST. E-mail: jkohelpdesk@jten.mil. Phone. COMM: 757-203-

5654 or DSN: 668-5654

(2) SERE 100.2 Level A Training Resources

SERE 100.2 Training is available on Joint Knowledge Online (JKO) https://jkodirect.jten.mil.

Go to: https://jkodirect.jten.mil/Atlas2/faces/page/coi/externalCourseAccess.seam?course_pr efix=J3T&course_number=A-US1329

Once you launch the course you will select the “Civilian” option. Contractors Authorized to Accompany the

Force (CAAF) are required to complete SERE 100.2 available on Joint Knowledge Online (JKO). This course is tailored to CAAF personnel and meets Level A SERE training Theater Entry Requirements. To maintain currency

CAAF personnel must re-accomplish this training requirement once every 36 months (3 years).

Sponsor information to establish JKO Account. Name: Timothy R. Johnson. Official Email:

timothy.johnson@spaceforce.mil. U.S. Phone: 321-494-5451

JKO Help Desk, Monday - Friday 0700-1900 EST. E-mail: jkohelpdesk@jten.mil. Phone. COMM: 757-203-

5654 or DSN: 668-5654

(3) Isolated Personnel Report (ISOPREP). Must be completed or reviewed within 12 months (one (1) year) of entering the AFRICOM AOR.

Personnel Recovery preparation is required to prepare for a situation when a traveler needs to be authenticated after they have become isolated, captured, missing, or detained; whether through accident (e.g., vehicle breaks down while traveling to a location), political turmoil (e.g., riot) or criminal/terrorist action (e.g., kidnapping).

Travelers should be prepared to survive unassisted for no less than 96 hours.

Point of Contact Veronica M. Garmas at veronica.garmas.ctr@spaceforce.mil, 321-494-6991. Let them know you will be DoD Sponsored Contractor for a construction project at Ascension and need to complete the ISOPREP process. Alternate contacts: Anastasia I. Fisher at anastasia.fisher.ctr@spaceforce.mil, 321-494-4344 and Kyron W. Claitt at kyron.claitt.ctr@spaceforce.mil, 321-494-7165.

Sponsor information to authorize ISOPREP process. Name: Timothy R. Johnson. Official Email:

timothy.johnson@spaceforce.mil. U.S. Phone: 321-494-5451

(4) Medical Assessment and Requirements:

Members will need to be medically prepared for the travel dates in accordance with their company’s corporate guidelines for overseas travel.