80KSC025R0009 Section L Appendix 1 - Temporary Badging Request Form.pdf

This is a Temporary Badging Request form template for obtaining facility access with a maximum duration of 29 days.

The form requires comprehensive personal identification information including full name, country of citizenship, and for non-U.S. citizens, either naturalization documentation with certificate number or Legal Permanent Resident card details with expiration date. Required documentation must be submitted as scanned copies with the request. Visit-specific details include exact dates of access with start and end dates, the host or meeting person (such as a Contracting Officer's Representative), visit type categories (Visitor, Student, Construction, Retiree, Foreign National, Service, Official Tour, Unofficial Tour, or Delivery), required email address, and detailed justification for the access request. The form distinguishes between escorted and unescorted badge types, requiring identification of the escort person if applicable. Additional sections address whether Temporary Area Access (TAA) is needed, specific area numbers to be accessed, and detailed purpose statements for the requested access.