Attachment 45-Gym Issue Card FTC-SSD-35.pdf
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- Attached to
- Training Support Services Federal contract opportunity
- Solicitation number
- 70LART25RPFB00006
About this file
This document is a Basic Gym Issue Card (Form FTC-SSD-35) used by the Department of Homeland Security Federal Law Enforcement Training Centers (FLETC) to track the issuance and return of training equipment and athletic gear to trainees. The form is divided into two main sections: athletic/gym items (including shirts, shorts, socks, brassieres, supporters, sweat clothes, swim suits, towels, and shower shoes) and law enforcement training equipment (including gun belt sets, training guns, handcuffs, radio holders, magazine cases, batons, and holsters).
The form includes fields for trainee identification (name, class number, agency), gender designation, and locker assignment details with combination instructions. Each item has columns to record the size, issuance, and return status. The form includes a liability statement requiring the trainee's signature acknowledging financial responsibility for returning all items. This appears to be a template form used for equipment accountability in FLETC's training programs, revised in July 2017.
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Text version
DEPARTMENT OF HOMELAND SECURITY
FEDERAL LAW ENFORCEMENT TRAINING CENTERS
BASIC GYM ISSUE CARD
Number: Issue Date: Last PT DATE:
Last Name: First Name: Middle Initial:
Class No: Agency: Male Female
ITEM SIZE ISSUED RETURNED
Shirt
Shorts
Socks (Pr)
Brassiere (Women)
Supporter (Men)
Sweat Shirts
Sweat Pants
Swim Suit
Towel
Shower Shoes
ITEM TYPE ISSUED RETURNED
Gun Belt Set
Training Guns
Handcuff (Peerless)
Handcuff Case
Radio/Holder
Long Handcuff Key
Short Handcuff Key
Magazine Case
Baton Ring/holder
Holster
Key Strap
Keeper
CAUTION: Lock Your Locker and DO NOT leave valuables in locker
Locker: Serial No: Combination:
Combination Instructions: Turn knob twice to the Right stop at first number:
Turn knob to the Left one whole turn past first number stop at second number:
Turn knob to the Right stop at third number
Issue Clerk
I have received the above listed items and am financially responsible for their return x Sign Here
FTC-SSD-35 (7/17) Page 1
DEPARTMENT OF HOMELAND SECURITY
FEDERAL LAW ENFORCEMENT TRAINING CENTERS
BASIC GYM ISSUE CARD
ITEM
Item
SIZE
Size
ISSUED
Issued
RETURNED
Returned Shirt Shorts Socks (Pr) Brassiere (Women) Supporter (Men) Sweat Shirts
6. NECKTIE
Sweat Pants Swim Suit Towel Shower Shoes
ITEM
Item
TYPE
Type
ISSUED
Issued
RETURNED
Returned Date Gun Belt Set Training Guns Handcuff (Peerless) Handcuff Case Radio/Holder Long Handcuff Key Short Handcuff Key Magazine Case Issued Magazine Case Baton Ring/holder Holster Key Strap Keeper CAUTION: Lock Your Locker and DO NOT leave valuables in locker Combination Instructions:
Turn knob twice to the Right stop at first number:
Turn knob to the Left one whole turn past first number stop at second number:
Turn knob to the Right stop at third number I have received the above listed items and am financially responsible for their return x
FTC-SSD-35 (7/17)
11.0.0.20130303.1.892433.887364
| Sign Here: |
| Last PT Date 2 digit month, 2 digit day, 4 digit year: |
| Female check box: |
| Shirt Date Returned 2 digit month, 2 digit day, 4 digit year: |
| Shorts Date Returned 2 digit month, 2 digit day, 4 digit year: |
| Socks (Pr) Date Returned 2 digit month, 2 digit day, 4 digit year: |
| Brassiere (Women) Date Returned 2 digit month, 2 digit day, 4 digit year: |
| Supporter (Men) Date Returned 2 digit month, 2 digit day, 4 digit year: |
| Sweat Shirts Date Returned 2 digit month, 2 digit day, 4 digit year: |
| Sweat Pants Date Returned 2 digit month, 2 digit day, 4 digit year: |
| Swim Suit Date Returned 2 digit month, 2 digit day, 4 digit year: |
| Towel Date Returned 2 digit month, 2 digit day, 4 digit year: |
| Shower Shoes Date Returned 2 digit month, 2 digit day, 4 digit year: |
| Gun Belt Set Date Returned 2 digit month, 2 digit day, 4 digit year: |
| Training Guns Date Returned 2 digit month, 2 digit day, 4 digit year: |
| Handcuff (Peerless) Date Returned 2 digit month, 2 digit day, 4 digit year: |
| Handcuff Case Date Returned 2 digit month, 2 digit day, 4 digit year: |
| Radio/Holder Date Returned 2 digit month, 2 digit day, 4 digit year: |
| Long Handcuff Key Date Returned 2 digit month, 2 digit day, 4 digit year: |
| Short Handcuff Key Date Returned 2 digit month, 2 digit day, 4 digit year: |
| Magazine Case Date Returned 2 digit month, 2 digit day, 4 digit year: |
| Baton Ring/holder Date Returned 2 digit month, 2 digit day, 4 digit year: |
| Holster Date Returned 2 digit month, 2 digit day, 4 digit year: |
| Key Strap Date Returned 2 digit month, 2 digit day, 4 digit year: |
| Keeper Date Returned 2 digit month, 2 digit day, 4 digit year: |
File details come from the government source that posted it. Updated .