Attach. 2 Base Access Request Template.docx
DOCX document 180 KB Posted
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- TMO Roll Up Doors
- Solicitation number
- FA480326Q0041
About this file
This is a Base Access Request Template form used by the 20th Fighter Wing at Shaw Air Force Base to process visitor and contractor access requests. The form requires sponsors to submit requests on behalf of individuals requiring base access, collecting personal information including full legal name, date of birth, Social Security number, driver's license number with Real ID compliance status, and U.S. citizenship verification. Requestors must submit the form via government email to the 20th Security Forces Squadron (20 SFS/S-5V) and include specific access details such as the purpose of visit, location on base, access dates/times, and sponsor contact information.
The form emphasizes sponsor responsibilities for badge management and visitor compliance with federal identification requirements under the Real ID Act. For non-U.S. citizens, sponsors must provide supporting documentation including foreign visas, Permanent Resident Cards (Form I-551), or Employment Authorization Cards (Form I-766) prior to visitor control center processing. The form notes that all information is protected under the Privacy Act of 1974 and will be used exclusively for criminal background history checks to authorize or deny base access. Failure to comply with submission requirements or misuse of approved access privileges may result in access revocation and potential criminal charges.
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Text version
CUI
CUI
DEPARTMENT OF THE AIR FORCECUI
20th FIGHTER WING (ACC)
SHAW AIR FORCE BASE SOUTH CAROLINA
DATE: 19-Mar-26
MEMORANDUM FOR 20 SFS/S-5V
FROM:
SUBJECT:
WHO:
WHAT FOR:
WHERE:
If base wide give justification:
WHEN (ACCESS DATE/DAYS/TIMES):
SPONSOR NAME:
DOD EDPI:
CONTACT INFO:
The information below is protected under Privacy Act 1974 and will only be used to process Criminal Background History Checks to grant or deny access to Shaw AFB. It is further understood that anyone abusing approved privileges could, at a minimum, lose said privilege and possibly face criminal charges.
Full Legal Name (Last, First MI) Date Of Birth (Year/Mo/Day) Social Security Number
(XXX-XX-XXXX)
ST-DL #
(REAL ID Y/N)
U.S.
Citizen (Y/N)
PLEASE READ THE STATEMENTS BELOW
1. I UNDERSTAND THAT AS THE SPONSOR I AM RESPONSIBLE FOR THE PERSON(S) LISTED ON THIS FORM, AND FOR ENSURING THE ABOVE NAME INDIVIDUAL(S) TURNS IN THE DBIDS PASS OR RETRIEVE THE PASS ONCE THE INDIVIDUAL(S) ARE TERMINATED, QUIT, OR NO LONGER REQUIRES ACCESS. IF I AM NOT ABLE TO RETRIEVE THE PASS, I WILL NOTIFY SECURITY FORCES TO HAVE THE INDIVIDUAL(S) PASS DEACTIVATED IN DBIDS.
2. If you, as the sponsor, filled out the request and answered N for U.S Citizen please make sure you submit scanned in documents before coming to the VCC. **i.e.-FOREIGN VISA, PERMANENT RESIDENT CARD (Form I-551) & EMPLOYMENT AUTHORIZATION CARD (Form I-766) HOLDERS, ETC.
3. AS THE SPONSOR, I will inform my visitors they must have identification in compliance with the Real ID Act OR have a Federal ID in which cases they do not. If they do not, they will not be able to receive a pass from the VCC.
4. THIS FORM MUST BE SENT BY THE SPONSOR LISTED ABOVE FROM THEIR GOVERNMENT EMAIL AND RECEIVED AT THE EMAIL ADDRESSES/FAX NUMBER LISTED ABOVE IN THE 20 SFS/S-5V SECTION OR THE REQUEST WILL NOT BE PROCESSED.
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File details come from the government source that posted it. Updated .