Attachment 46-Staff Uniform Issue Card FTC-SSD-45.pdf

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Attached to
Training Support Services Federal contract opportunity
Solicitation number
70LART25RPFB00006
Issued by
Department of Homeland Security Federal Law Enforcement Training Center

About this file

This is a uniform issue record form (FTC-SSD-45) used by the Department of Homeland Security Federal Law Enforcement Training Centers (FLETC) to track the issuance and return of uniforms for law enforcement instructional staff and mission support staff. The form contains fields to record staff member information (name, division, office extension) and includes an authorization section for documenting permanent/temporary assignment status and division chief approval.

The form tracks the following uniform items with columns for recording items in/out, balance, and size: pants, shorts, polo shirts, t-shirts, sweat shirts, all-weather jackets, and caps/boonies. Each row represents a transaction and requires the recipient's signature. This is a template form dated October 2018 that appears to be used for inventory control and accountability of issued uniform items.

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Text version

DEPARTMENT OF HOMELAND SECURITY

FEDERAL LAW ENFORCEMENT TRAINING CENTERS

STAFF UNIFORM ISSUE RECORD LAW ENFORCEMENT INSTRUCTIONAL STAFF/MISSION SUPPORT STAFF

Name:

Last First Mi.

Division: Office Extension:

AUTHORIZATION

QUANTITIES/SIZE- AUTHORIZED - PANTS SHORTS POLO SHIRTS SWEAT SHIRT

ALL-WEATHER JACKET CAP BOONIE T-SHIRTS

PERMANENT ASSIGNMENT TEMPORARY ASSIGNMENT TERMINATION DATE

DIVISION CHIEF'S SIGNATURE DATE

DATE

PANTS

IN OUT BAL SZ

SHORTS

IN OUT BAL SZ

POLO SHIRTS

IN OUT BAL SZ

T-SHIRTS

IN OUT BAL SZ

SWEAT SHIRT

IN OUT BAL SZ

ALL-WEATHER JACKET

IN OUT BAL SZ

CAP/

BOONIE

IN OUT BAL

RECIPIENT'S

SIGNATURE

FTC-SSD-45 (10/18) Page 1 of 1

DON SIMMONS

11.0.0.20130303.1.892433

DEPARTMENT OF HOMELAND SECURITY

FEDERAL LAW ENFORCEMENT TRAINING CENTERS

STAFF UNIFORM ISSUE RECORD LAW ENFORCEMENT INSTRUCTIONAL STAFF/MISSION SUPPORT STAFF Name:

Last First Mi.

Division:

Office Extension:

AUTHORIZATION

QUANTITIES/SIZE- AUTHORIZED -

PANTS

SHORTS

POLO SHIRTS

SWEAT SHIRT

ALL-WEATHER JACKET

CAP

BOONIE

T-SHIRTS

PERMANENT ASSIGNMENT

TEMPORARY ASSIGNMENT

TERMINATION DATE

DIVISION CHIEF'S SIGNATURE

DATE

DATE

PANTS

IN

OUT BAL

SZ

SHORTS

IN

OUT

BAL

SZ

POLO SHIRTS

IN

OUT

BAL

SZ

T-SHIRTS

IN

OUT

BAL

SZ

SWEAT SHIRT

IN

OUT

BAL

SZ

ALL-WEATHER JACKET

IN

OUT

BAL

SZ

CAP/

BOONIE

IN

OUT

BAL

RECIPIENT'S

SIGNATURE

FTC-SSD-45 (10/18)

Name (last, first, middle):
Division:
Office Extension:
Quantities/Size - Authorized:
Pants:
Shorts:
Polo Shirts:
Sweat Shirt:
All-Weather Jacket:
Cap:
Boonie:
T-Shirts:
Permanent Assignment check box: Off
Temporary Assignment check box: Off
Termination Date (2 digit month, 2 digit day, 4 digit year):
Division Chief's Signature:
DATE (2 digit month, 2 digit day, 4 digit year):
Date row 1 (2 digit month, 2 digit day, 4 digit year):
Pants turned in row 1:
Pants issued out row 1:
Pants remaining balance row 1:
Pants size row 1:
Shorts turned in row 1:
Shorts issued out row 1:
Shorts remaining balance row 1:
Shorts size row 1:
Polo Shirts turned in row 1:
Polo shirts issued out row 1:
Polo shirts remaining balance row 1:
Polo shirts size row 1:
T-Shirts turned in row 1:
T-Shirts issued out row 1:
T-Shirts remaining balance row 1:
T-Shirts size row 1:
Sweat Shirt turned in row 1:
Sweat Shirt issued out row 1:
Sweat Shirt remaining balance row 1:
Sweat Shirt size row 1:
All-Weather Jacket turned in row 1:
All-Weather Jacket issued out row 1:
All-Weather Jacket remaining balance row 1:
All-Weather Jacket size row 1:
Cap/Boonie turned in row 1:
Cap/Boonie issued out row 1:
Cap/Boonie remaining balance row 1:
Recipients Signature row 1:
Date row 2 (2 digit month, 2 digit day, 4 digit year):
Pants turned in row 2:
Pants issued out row 2:
Pants remaining balance row 2:
Pants size row 2:
Shorts turned in row 2:
Shorts issued out row 2:
Shorts remaining balance row 2:
Shorts size row 2:
Polo Shirts turned in row 2:
Polo shirts issued out row 2:
Polo shirts remaining balance row 2:
Polo shirts size row 2:
T-Shirts turned in row 2:
T-Shirts issued out row 2:
T-Shirts remaining balance row 2:
T-Shirts size row 2:
Sweat Shirt turned in row 2:
Sweat Shirt issued out row 2:
Sweat Shirt remaining balance row 2:
Sweat Shirt size row 2:
All-Weather Jacket turned in row 2:
All-Weather Jacket issued out row 2:
All-Weather Jacket remaining balance row 2:
All-Weather Jacket size row 2:
Cap/Boonie turned in row 2:
Cap/Boonie issued out row 2:
Cap/Boonie remaining balance row 2:
Recipients Signature row 2:
Date row 3 (2 digit month, 2 digit day, 4 digit year):
Pants turned in row 3:
Pants issued out row 3:
Pants remaining balance row 3:
Pants size row 3:
Shorts turned in row 3:
Shorts issued out row 3:
Shorts remaining balance row 3:
Shorts size row 3:
Polo Shirts turned in row 3:
Polo shirts issued out row 3:
Polo shirts remaining balance row 3:
Polo shirts size row 3:
T-Shirts turned in row 3:
T-Shirts issued out row 3:
T-Shirts remaining balance row 3:
T-Shirts size row 3:
Sweat Shirt turned in row 3:
Sweat Shirt issued out row 3:
Sweat Shirt remaining balance row 3:
Sweat Shirt size row 3:
All-Weather Jacket turned in row 3:
All-Weather Jacket issued out row 3:
All-Weather Jacket remaining balance row 3:
All-Weather Jacket size row 3:
Cap/Boonie turned in row 3:
Cap/Boonie issued out row 3:
Cap/Boonie remaining balance row 3:
Recipients Signature row 3:
Date row 4 (2 digit month, 2 digit day, 4 digit year):
Pants turned in row 4:
Pants issued out row 4:
Pants remaining balance row 4:
Pants size row 4:
Shorts turned in row 4:
Shorts issued out row 4:
Shorts remaining balance row 4:
Shorts size row 4:
Polo Shirts turned in row 4:
Polo shirts issued out row 4:
Polo shirts remaining balance row 4:
Polo shirts size row 4:
T-Shirts turned in row 4:
T-Shirts issued out row 4:
T-Shirts remaining balance row 4:
T-Shirts size row 4:
Sweat Shirt turned in row 4:
Sweat Shirt issued out row 4:
Sweat Shirt remaining balance row 4:
Sweat Shirt size row 4:
All-Weather Jacket turned in row 4:
All-Weather Jacket issued out row 4:
All-Weather Jacket remaining balance row 4:
All-Weather Jacket size row 4:
Cap/Boonie turned in row 4:
Cap/Boonie issued out row 4:
Cap/Boonie remaining balance row 4:
Recipients Signature row 4:
Date row 5 (2 digit month, 2 digit day, 4 digit year):
Pants turned in row 5:
Pants issued out row 5:
Pants remaining balance row 5:
Pants size row 5:
Shorts turned in row 5:
Shorts issued out row 5:
Shorts remaining balance row 5:
Shorts size row 5:
Polo Shirts turned in row 5:
Polo shirts issued out row 5:
Polo shirts remaining balance row 5:
Polo shirts size row 5:
T-Shirts turned in row 5:
T-Shirts issued out row 5:
T-Shirts remaining balance row 5:
T-Shirts size row 5:
Sweat Shirt turned in row 5:
Sweat Shirt issued out row 5:
Sweat Shirt remaining balance row 5:
Sweat Shirt size row 5:
All-Weather Jacket turned in row 5:
All-Weather Jacket issued out row 5:
All-Weather Jacket remaining balance row 5:
All-Weather Jacket size row 5:
Cap/Boonie turned in row 5:
Cap/Boonie issued out row 5:
Cap/Boonie remaining balance row 5:
Recipients Signature row 5:
Date row 6 (2 digit month, 2 digit day, 4 digit year):
Pants turned in row 6:
Pants issued out row 6:
Pants remaining balance row 6:
Pants size row 6:
Shorts turned in row 6:
Shorts issued out row 6:
Shorts remaining balance row 6:
Shorts size row 6:
Polo Shirts turned in row 6:
Polo shirts issued out row 6:
Polo shirts remaining balance row 6:
Polo shirts size row 6:
T-Shirts turned in row 6:
T-Shirts issued out row 6:
T-Shirts remaining balance row 6:
T-Shirts size row 6:
Sweat Shirt turned in row 6:
Sweat Shirt issued out row 6:
Sweat Shirt remaining balance row 6:
Sweat Shirt size row 6:
All-Weather Jacket turned in row 6:
All-Weather Jacket issued out row 6:
All-Weather Jacket remaining balance row 6:
All-Weather Jacket size row 6:
Cap/Boonie turned in row 6:
Cap/Boonie issued out row 6:
Cap/Boonie remaining balance row 6:
Recipients Signature row 6:
Date row 7 (2 digit month, 2 digit day, 4 digit year):
Pants turned in row 7:
Pants issued out row 7:
Pants remaining balance row 7:
Pants size row 7:
Shorts turned in row 7:
Shorts issued out row 7:
Shorts remaining balance row 7:
Shorts size row 7:
Polo Shirts turned in row 7:
Polo shirts issued out row 7:
Polo shirts remaining balance row 7:
Polo shirts size row 7:
T-Shirts turned in row 7:
T-Shirts issued out row 7:
T-Shirts remaining balance row 7:
T-Shirts size row 7:
Sweat Shirt turned in row 7:
Sweat Shirt issued out row 7:
Sweat Shirt remaining balance row 7:
Sweat Shirt size row 7:
All-Weather Jacket turned in row 7:
All-Weather Jacket issued out row 7:
All-Weather Jacket remaining balance row 7:
All-Weather Jacket size row 7:
Cap/Boonie turned in row 7:
Cap/Boonie issued out row 7:
Cap/Boonie remaining balance row 7:
Recipients Signature row 7:
Date row 8 (2 digit month, 2 digit day, 4 digit year):
Pants turned in row 8:
Pants issued out row 8:
Pants remaining balance row 8:
Pants size row 8:
Shorts turned in row 8:
Shorts issued out row 8:
Shorts remaining balance row 8:
Shorts size row 8:
Polo Shirts turned in row 8:
Polo shirts issued out row 8:
Polo shirts remaining balance row 8:
Polo shirts size row 8:
T-Shirts turned in row 8:
T-Shirts issued out row 8:
T-Shirts remaining balance row 8:
T-Shirts size row 8:
Sweat Shirt turned in row 8:
Sweat Shirt issued out row 8:
Sweat Shirt remaining balance row 8:
Sweat Shirt size row 8:
All-Weather Jacket turned in row 8:
All-Weather Jacket issued out row 8:
All-Weather Jacket remaining balance row 8:
All-Weather Jacket size row 8:
Cap/Boonie turned in row 8:
Cap/Boonie issued out row 8:
Cap/Boonie remaining balance row 8:
Recipients Signature row 8:

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