Attachment 02_Shaw AFB Visitor Pass Request.docx
DOCX document 181 KB Posted
- Attached to
- 20SF IDS and Camera Upgrade
- Solicitation number
- FA480325R0020
About this file
The document is a Department of the Air Force Visitor Pass Request form for Shaw Air Force Base in South Carolina. The form is designed for personnel to request base access for non-work affiliated guests, with specific guidelines for visitor pass issuance. Key requirements include submitting guest information at least 7 duty days prior to base access, meeting guests at the Visitor Control Center during business hours (0730-1630 Monday-Friday), and ensuring visitors have proper identification compliant with the Real ID Act. Passes can be issued for up to 30 days, with the potential to extend to 6 months if a command sponsorship letter is provided.
The form is specifically associated with a related federal contract opportunity (Solicitation Number: FA480325R0020) for a 20th Security Forces Squadron (SFS) Intrusion Detection and Camera Upgrade project. The project involves replacing existing cameras in the 20th SFS Building and Commercial Vehicle Inspection Area, and integrating them into the current V100 Integrated Base Defense Security System (IBDSS). The system's objective is to provide intrusion detection, access control, alarm reporting, video surveillance, remote alarm assessment, and security forces response to support the physical security mission of the 20th Fighter Wing at Shaw AFB, South Carolina.
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Text version
DEPARTMENT OF THE AIR FORCE
20th FIGHTER WING (ACC)
SHAW AIR FORCE BASE SOUTH CAROLINA
Date: DD/MM/YY
MEMORANDUM FOR 20 SFS/S-5V (email to: BOTH Ms. Jacqueline Hernandez-Sears jacqueline.hernandez-sears.1@us.af.mil, TSgt Shelby Pontieri shelby.pontieri@us.af.mil , OR FAX 803-895-5337 DUTY #:803-895-9085 or 803-895-9086/ VCC Email: udg_20sfs_vcc@us.af.mil)
FROM: (WHO) example : John doe, 20 SFS, SrA
SUBJECT: Guest Visitor Pass (NON-Work Affiliated)
1. I request permission for the below individuals to have access to Shaw AFB. I will ensure I meet my guests at the Visitor Control Center during business hours: Monday-Friday, 0730-1630 to have the visitor passes issued. After hours passes can be issued by the Main Gate. I will inform my visitors they must have identification in compliance with the Real ID Act and will bring a secondary form of Federal ID in which cases they do not, if they do not, they will not able to receive a pass from the VCC. I understand it is my responsibility to ensure this information is submitted 7 duty days prior to the day of base access, and any changes after that point will be done at the convenience of the 20 SFS.
Date: Amount of days needed for pass (30 days maximum, up to6 months for visitor pass) Time: Time needed for pass, i.e 0700-1800 or 24/7 Location: Where the visitors will be going/reason…(i.e. Home address/on-base housing, CDC pick up/drop off) Sponsor: Name, Rank , Organization, DOD ID # Phone number: (xxx) xxx-xxxx and GOV Email
2. Below is my guest list in alphabetical order by last name. This list does not include minor children under the age of 18 that may be accompanying these guests.
Authority: AFMAN 31-101, V3 Purpose: The information below is protected under Privacy Act 1974 and will only be used to process Criminal Background History Checks to grant access to Shaw AFB.
Routine Use: Information may be disclosed for any of the DoD “Blanket Routine Uses.”
Disclosure: Voluntary; however, failure to provide the requested information will result in our inability to grant you access to Shaw AFB.
| Last Name, First Name Middle Initial |
| Date of BirthEXAMPLE |
| Social Security Number |
| US CIT Y/N? |
***PASS CAN GO UP TO 6 MONTHS EVERY 30 DAYS…ANYTHING LONGER WILL NEED A COMMAND SPONSORSHIP LETTER FROM YOUR SQUADRON STATING THEY WILL BE SPONSORING THAT INDIVIDUAL***
Date: - -
FROM:
SUBJECT: Guest Visitor Pass
1. I request permission for the below individuals to have access to Shaw AFB. I will ensure I meet my guests at the Visitor Control Center during business hours: Monday-Friday, 0730-1630 to have the visitor passes issued. After hours passes can be issued by the Main Gate. I will inform my visitors they must have identification in compliance with the Real ID Act and will bring a secondary form of Federal ID in which cases they do not, if they do not, they will not able to receive a pass from the VCC. I understand it is my responsibility to ensure this information is submitted 7 duty days prior to the day of base access, and any changes after that point will be done at the convenience of the 20 SFS/VCC.
Date:
Time:
Location/Reason:
Sponsor:
DOD EDPI:
Phone number/Email:
2. Below is my guest list in alphabetical order by last name. This list does not include minor children under the age of 18 that may be accompanying these guests.
Authority: AFMAN 31-101, V3 Purpose: The information below is protected under Privacy Act 1974 and will only be used to process Criminal Background History Checks to grant access to Shaw AFB.
Routine Use: Information may be disclosed for any of the DoD “Blanket Routine Uses.”
Disclosure: Voluntary; however, failure to provide the requested information will result in our inability to grant you access to Shaw AFB.
| Last Name, First Name Middle Initial |
| Date of Birth |
(YEAR/MO/DAY)
| Social Security Number |
| US CIT Y/N? |
| REAL ID |
Y/N?
CUI
Victory By Valor
CUI
Victory By Valor image1.emf image2.emf image3.png
File details come from the government source that posted it. Updated .