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
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: |
File details come from the government source that posted it. Updated .