AFRL_Visitor_Pre_Announcement.pdf

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REQUEST FOR INFORMATION: INSTALLATION OF STEAM GENERATOR
Solicitation number
12182024
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This is a visitor pre-announcement form from the Air Force Research Laboratory (AFRL) at Edwards Air Force Base, California, used to request access for individuals visiting the facility. The form is marked as For Official Use Only (FOUO) and requires detailed personal information including name, social security number, driver's license, citizenship status, and place of birth.

The specific form shown is partially filled out, indicating access is being requested for Building 9630/Area 1-42, with AFRL/RQRO listed as both the originating office and organization. The form requires specification of restricted area access needs for Zone 2, Area 19 (1-42), and Area 20 (1-120, 1-125), with checkboxes indicating "Yes" for Area 1-42 access and "No" for Zone 2 and Area 20 access. This form is related to an Industry Day scheduled for January 22, 2025, for contractors interested in bidding on a steam generator installation project at Edwards AFB.

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DEPARTMENT OF THE AIR FORCE

AIR FORCE RESEARCH LABORATORY

EDWARDS AIR FORCE BASE CALIFORNIA

Important Note: This worksheet contains information which must be protected IAW AFI 33-332 and DOD Regulation 5400.11; Privacy Act of 1974 as amended applies, and it is FOR OFFICIAL USE ONLY (FOUO). This worksheet will be destroyed after information provided has expired.

Important Note: This worksheet contains information which must be protected IAW AFI 33-332 and DOD Regulation 5400.11; Privacy Act of 1974 as amended applies, and it is FOR OFFICIAL USE ONLY (FOUO). This worksheet will be destroyed after information provided has expired.

Deliver and Support Agile War-Winning Capabilities

MEMORANDUM FOR AFRL/RQOF

FROM:_________________________________________________________________________

SUBJECT: Visitor’s Pre-Announcement Notification

The below listed individual is employed by______________________________________ will require access to the Air Force Research Laboratory (AFRL), Edwards AFB CA for the purpose specified below:

a. NAME: _________________________ _________________________ ______

(LAST) (FIRST (NO NICKNAMES) (M.I.)

b. SSAN: _________________________ CITIZENSHIP: ___________________________________

c. DRIVERS LICENSE NUMBER:____________________________ STATE: __________________

d. PLACE OF BIRTH (CITY): ______________________________ STATE: __________________

DOB: ______________________________

*** IF A NATURALIZED CITIZEN PLEASE SEND/ATTACH A COPY OF PASSPORT OR

NATURALIZATION CERTIFICATE WITH VISIT REQUEST***

e. DURATION OF VISIT: Beginning: _________________ Ending: _________________________

f. AFRL POINT OF CONTACT (POC):__________________________________________________

g. SPONSOR DOD CAC ID #______________________ SPONSOR RANK:___________________

h. ORGANIZATION/OFFICE SYMBOL: _______________________________________

i. AFRL POC’s TELEPHONE NUMBER: _______________________________________

j. SPECIFIC PURPOSE OF VISIT(s): _______________________________________

k. LOCATION OF VISIT (BLDG #/AREA): ______________________________________________

l. WILL ACCESS BE REQUIRED FOR ZONE 2: YES NO

m. RESTRICTED AREA 19: AREA 1-42: YES NO

n. RESTRICTED AREA 20: AREA 1-120, 1-125: YES NO

o. FOR UN-ACCOMPAINED ACCESS INTO A RESTRICTED AREA (19 or 20), THE VISITOR MUST AT

LEAST A FAVORABLE INVESTIGATION.

p. CLEARANCE LEVEL: _______________ DATE OF INVESTIGATION: ___________________

SIGNATURE OF UNIT/COMPANY/FIRM SIGNATURE OF AFRL CONTACT

SPONSOR/SECURITY MANAGER/OFFICER (DoD Gov’t Civilian or Active Duty Military)

FROM: AFRL/RQRO
The below listed individual is employed by:
a NAME:
FIRST NO NICKNAMES:
MI:
b SSAN:
CITIZENSHIP:
c DRIVERS LICENSE NUMBER:
STATE:
d PLACE OF BIRTH CITY:
STATE_2:
DOB:
e DURATION OF VISIT Beginning:
Ending:
f AFRL POINT OF CONTACT POC:
g SPONSOR DOD CAC ID:
SPONSOR RANK:
1: AFRL/RQRO
2:
3:
k LOCATION OF VISIT BLDG AREA: Bldg 9630/Area 1-42
p CLEARANCE LEVEL:
DATE OF INVESTIGATION:
Check Box2: Off
Check Box3: Yes
Check Box4: Off
Check Box5: Yes
Check Box6: Off
Check Box7: Yes

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