Attach__No__1B_-_af332.pdf

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SECTION I - TO BE COMPLETED BY REQUESTER

1. FROM (Organization)

2. OFFICE

SYMBOL

3. DATE OF REQUEST

4. WORK REQUEST NO. (For BCE Use)

5. NAME AND PHONE NO. OF REQUESTER

6. REQUIRED COMPLETION DATE

7. BUILDING, FACILITY OR STREET ADDRESS

WHERE WORK IS TO BE ACCOMPLISHED

8. DESCRIPTION OF WORK TO BE ACCOMPLISHED (Include Sketch or Plan, when appropriate)

9. BRIEF JUSTIFICATION FOR WORK TO BE ACCOMPLISHED (Not required for maintenance and repair)

10. DONATED RESOURCES

FUNDS

LABOR

MATERIAL

CONTRACT BY REQUESTER

NONE

11. NAME OF REQUESTER

12. GRADE OF REQUESTER

14. COORDINATION

SECTION II - FOR BASE CIVIL ENGINEER USE

15. WORK ORDER (Place an "X" in the appropriate box.)

IN-SERVICE

SELF-HELP

CONTRACT

SABER

16. DIRECT SCHEDULED WORK (Place an "X" in the appropriate box.)

EMERGENCY

URGENT

ROUTINE

SELF-HELP

M/C

17. SELF-HELP (Place an "X" in the appropriate box.)

BRIEFING REQUIRED

ADEQUATE COORDINATION

INSPECTION REQUIRED

SECTION III - COMPLETE ONLY IF WORK IS TO BE ACCOMPLISHED BY WORK ORDER

21. ESTIMATED FUNDED

COST

22. ESTIMATED TOTAL

COST

18. WORK CLASS

19. PRIORITY

20. ESTIMATED HOURS

23.

24.

THERE IS NO NEED FOR AN ENVIRONMENTAL

ASSESSMENT (AFR 19-2)

A WRITTEN ASSESSMENT IS

BEING/HAS BEEN PROCESSED

27. REMARKS

SECTION IV - APPROVING AUTHORITY

28. NAME AND GRADE (Please Type or Print)

29. SIGNATURE

30. DATE

MASTER FILE COPY

PREVIOUS EDITION IS OBSOLETE.

AF FORM 332, 19910101, V4

Click to sign Click to sign 25.

APPROVED

Public reporting burden for this collection of information is estimated to average .3 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to the Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project 0704-0188, Washington DC 20503. Please DO NOT RETURN your form to either of these addresses. Send your completed form to HQ AFESC/DEMG.

26.

DISAPPROVED

Form Approved OMB No. 0704-0188

13. SIGNATURE OF REQUESTER (See Reverse of Form)

BASE CIVIL ENGINEER WORK REQUEST

(See Reverse for Instructions)

SECTION I - TO BE COMPLETED BY REQUESTER

1. FROM (Organization)

2. OFFICE

SYMBOL

3. DATE OF REQUEST

4. WORK REQUEST NO. (For BCE Use)

5. NAME AND PHONE NO. OF REQUESTER

6. REQUIRED COMPLETION DATE

8. DESCRIPTION OF WORK TO BE ACCOMPLISHED (Include Sketch or Plan, when appropriate)

9. BRIEF JUSTIFICATION FOR WORK TO BE ACCOMPLISHED (Not required for maintenance and repair)

10. DONATED RESOURCES

FUNDS

LABOR

MATERIAL

CONTRACT BY REQUESTER

NONE

13. SIGNATURE OF REQUESTER

11. NAME OF REQUESTER

12. GRADE OF REQUESTER

(See Reverse of Form)

14. COORDINATION

SECTION II - FOR BASE CIVIL ENGINEER USE

15. WORK ORDER (Place an "X" in the appropriate box.)

IN-SERVICE

SELF-HELP

CONTRACT

SABER

16. DIRECT SCHEDULED WORK (Place an "X" in the appropriate box.)

EMERGENCY

URGENT

ROUTINE

SELF-HELP

M/C

17. SELF-HELP (Place an "X" in the appropriate box.)

BRIEFING REQUIRED

ADEQUATE COORDINATION

INSPECTION REQUIRED

SECTION III - COMPLETE ONLY IF WORK IS TO BE ACCOMPLISHED BY WORK ORDER

18. WORK CLASS

19. PRIORITY

21. ESTIMATED FUNDED

COST

22. ESTIMATED TOTAL

COST

20. ESTIMATED HOURS

24.

23.

THERE IS NO NEED FOR AN ENVIRONMENTAL

ASSESSMENT (AFR 19-2)

A WRITTEN ASSESSMENT IS

BEING/HAS BEEN PROCESSED

27. REMARKS

SECTION IV - APPROVING AUTHORITY

28. NAME AND GRADE (Please Type or Print)

29. SIGNATURE

30. DATE

SUSPENSE COPY

AF FORM 332, 19910101, V4

PREVIOUS EDITION IS OBSOLETE.

25.

APPROVED

26.

DISAPPROVED

Form Approved OMB No. 0704-0188

7. BUILDING, FACILITY OR STREET ADDRESS

WHERE WORK IS TO BE ACCOMPLISHED

BASE CIVIL ENGINEER WORK REQUEST

(See Reverse for Instructions) Public reporting burden for this collection of information is estimated to average .3 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to the Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project 0704-0188, Washington DC 20503. Please DO NOT RETURN your form to either of these addresses. Send your completed form to HQ AFESC/DEMG.

Click to sign Click to sign

SECTION I - TO BE COMPLETED BY REQUESTER

1. FROM (Organization)

2. OFFICE

SYMBOL

3. DATE OF REQUEST

4. WORK REQUEST NO. (For BCE Use)

5. NAME AND PHONE NO. OF REQUESTER

6. REQUIRED COMPLETION DATE

8. DESCRIPTION OF WORK TO BE ACCOMPLISHED (Include Sketch or Plan, when appropriate)

9. BRIEF JUSTIFICATION FOR WORK TO BE ACCOMPLISHED (Not required for maintenance and repair)

10. DONATED RESOURCES

FUNDS

LABOR

MATERIAL

CONTRACT BY REQUESTER

NONE

13. SIGNATURE OF REQUESTER

11. NAME OF REQUESTER

12. GRADE OF REQUESTER

(See Reverse of Form)

14. COORDINATION

SECTION II - FOR BASE CIVIL ENGINEER USE

15. WORK ORDER (Place an "X" in the appropriate box.)

IN-SERVICE

SELF-HELP

CONTRACT

SABER

16. DIRECT SCHEDULED WORK (Place an "X" in the appropriate box.)

EMERGENCY

URGENT

ROUTINE

SELF-HELP

M/C

17. SELF-HELP (Place an "X" in the appropriate box.)

BRIEFING REQUIRED

ADEQUATE COORDINATION

INSPECTION REQUIRED

SECTION III - COMPLETE ONLY IF WORK IS TO BE ACCOMPLISHED BY WORK ORDER

18. WORK CLASS

19. PRIORITY

20. ESTIMATED HOURS

23.

24.

THERE IS NO NEED FOR AN ENVIRONMENTAL

ASSESSMENT (AFR 19-2)

A WRITTEN ASSESSMENT IS

BEING/HAS BEEN PROCESSED

27. REMARKS

SECTION IV - APPROVING AUTHORITY

28. NAME AND GRADE (Please Type or Print)

29. SIGNATURE

30. DATE

STATUS COPY

AF FORM 332, 19910101, V4

PREVIOUS EDITION IS OBSOLETE.

25.

APPROVED

26.

DISAPPROVED

21. ESTIMATED FUNDED

COST

22. ESTIMATED TOTAL

COST

7. BUILDING, FACILITY OR STREET ADDRESS

WHERE WORK IS TO BE ACCOMPLISHED

BASE CIVIL ENGINEER WORK REQUEST

(See Reverse for Instructions) Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average .3 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to the Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project 0704-0188, Washington DC 20503. Please DO NOT RETURN your form to either of these addresses. Send your completed form to HQ AFESC/DEMG.

Click to sign Click to sign

SECTION I - TO BE COMPLETED BY REQUESTER

1. FROM (Organization)

2. OFFICE

SYMBOL

3. DATE OF REQUEST

4. WORK REQUEST NO. (For BCE Use)

5. NAME AND PHONE NO. OF REQUESTER

6. REQUIRED COMPLETION DATE

8. DESCRIPTION OF WORK TO BE ACCOMPLISHED (Include Sketch or Plan, when appropriate)

9. BRIEF JUSTIFICATION FOR WORK TO BE ACCOMPLISHED (Not required for maintenance and repair)

10. DONATED RESOURCES

FUNDS

LABOR

MATERIAL

CONTRACT BY REQUESTER

NONE

13. SIGNATURE OF REQUESTER

11. NAME OF REQUESTER

12. GRADE OF REQUESTER

(See Reverse of Form)

14. COORDINATION

SECTION II - FOR BASE CIVIL ENGINEER USE

15. WORK ORDER (Place an "X" in the appropriate box.)

IN-SERVICE

SELF-HELP

CONTRACT

SABER

16. DIRECT SCHEDULED WORK (Place an "X" in the appropriate box.)

EMERGENCY

URGENT

ROUTINE

SELF-HELP

M/C

17. SELF-HELP (Place an "X" in the appropriate box.)

BRIEFING REQUIRED

ADEQUATE COORDINATION

INSPECTION REQUIRED

SECTION III - COMPLETE ONLY IF WORK IS TO BE ACCOMPLISHED BY WORK ORDER

18. WORK CLASS

19. PRIORITY

20. ESTIMATED HOURS

24.

23.

THERE IS NO NEED FOR AN ENVIRONMENTAL

ASSESSMENT (AFR 19-2)

A WRITTEN ASSESSMENT IS

BEING/HAS BEEN PROCESSED

27. REMARKS

SECTION IV - APPROVING AUTHORITY

28. NAME AND GRADE (Please Type or Print)

29. SIGNATURE

30. DATE

CUSTOMER'S COPY

AF FORM 332, 19910101, V4

PREVIOUS EDITION IS OBSOLETE.

25.

APPROVED

26.

DISAPPROVED

21. ESTIMATED FUNDED

COST

22. ESTIMATED TOTAL

COST

7. BUILDING, FACILITY OR STREET ADDRESS

WHERE WORK IS TO BE ACCOMPLISHED

Public reporting burden for this collection of information is estimated to average .3 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to the Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project 0704-0188, Washington DC 20503. Please DO NOT RETURN your form to either of these addresses. Send your completed form to HQ AFESC/DEMG.

Form Approved OMB No. 0704-0188

BASE CIVIL ENGINEER WORK REQUEST

(See Reverse for Instructions) Click to sign Click to sign

INSTRUCTIONS FOR COMPLETING AF IMT 332

1. The AF Form 332 set consists of a Master File Copy, a Suspense Copy, a Status Copy, and a Customer's Copy. Retain the Status Copy for your organizational files.

2. All requirements for a single facility may be included on the same AF Form 332.

3. The requester completes the following items on the AF Form 332. If there is any question, contact the Civil Engineering Customer Service Unit or the Self-Help Center for assistance:

Item 1.

Enter the organization assignment of requester.

2.

Enter the organization office symbol of requester.

3.

Self-explanatory.

4.

For internal BCE use only.

5.

Self-explanatory.

Enter the date that requested work should be completed. If the proposed work is new work, modification or minor construction, the required completion date should also be explained in item 9.

6.

7.

Enter the number of the building or facility on which the work is requested.

Enter a clear and concise description of the desired work, supported by sketches, plans, diagrams, specifications, photographs, and any other data or information that provide a complete description of the location and scope of work requested.

8.

Complete only if the work requested is new work, modification, or minor construction. The justification should be factual and indicate the urgency of the request. List any related projects and impact if delayed (item 6). It should be written so reviewers and approving authorities can understand it though they may not have access to any referenced documents/directives.

9.

Indicate the resources that the requester/requesting organization proposes to donate/furnish. Include any details known (amount, quantities, contract/contractor, etc.) on the resources in item 8.

10.

If the requested work is new work, modification, or minor construction, the organization's commander should sign the request. Otherwise, the signature of the building manager or requester suffices. This signature indicates the work is essential and not prohibited by any directives the requester is aware of.

thru 13.

When coordination of another agency/section is needed (medical, safety, security, fire protection, etc.), the requester can expedite processing of this form by obtaining the coordination prior to its submittal. If the requester/requesting organization is a contractor or proposes to donate contract resources, this form requires the coordination of the appropriate base contracting office. This coordination indicates that proposed work to be done is within the provisions of the existing contract, or the proposed contracting is appropriate. If the work is to be accomplished by self-help, the form is then routed to the Self-Help Center after coordination is complete.

14.

For Base Civil Engineer Use.

thru 30.

AF IMT 332, 19910101, V4

(REVERSE)

8.2.1.3158.1.475346.466429