Att 3 - Implementation of DD Form 3150.pdf

DEPARTMENT OF THE AIR FORCE

HEADQUARTERS 81ST TRAINING WING (AETC)

MEMORANDUM FOR KEESLER AFB CONTRACTOR EMPLOYEES

FROM: 81st Contracting Squadron

310 M Street, Bldg. 4605 Rm 102 Keesler AFB MS 39534

SUBJECT: Implementation of Executive Order 14042, Compliance with Safer Federal Workforce Taskforce Guidance, DD Form 3150

1. In Accordance With Executive Order 14042, starting 10 Dec 21, all contract employees that work within a facility on Keesler AFB shall be required to present a DD Form 3150, Contractor Personnel and Visitor Certification of Vaccination. Contractors that are not fully vaccinated or fail to produce a DD Form 3150, are required to show proof of a negative COVID-19 test result to enter a DoD facility. The COVID-19 test results must be from a test dating no later than 72 hours prior to seeking entrance to the DoD Facility. Contractors can utilize the 81 TRW screening process as available.

2. Contractor employers shall ensure compliance with the Safer Federal Workforce Taskforce. Guidance can be found at: https://www.saferfederalworkforce.gov/contractors/. In accordance with this guidance, the Contract employer or supervisor shall validate the employee vaccination status as recorded on their DD Form 3150. Acceptable forms of validation are as follows: a copy of the record of immunization from a health care provider or pharmacy, a copy of the COVID-19 Vaccination Record Card (CDC Form MLS-319813_r, published on September 3, 2020), a copy of medical records documenting the vaccination, a copy of immunization records from a public health or State immunization information system, or a copy of any other official documentation verifying vaccination with information on the vaccine name, date(s) of administration, and the name of health care professional or clinic site administering vaccine.

DEITRE L. BROWNE

Contracting Officer

Attachment:

1. DD Form 3150 https://www.saferfederalworkforce.gov/contractors/