Attachment 03_Shaw AFB Visitor Pass Request Template..docx
DOCX document 181 KB Posted
- Solicitation number
- FA480325Q0022
About this file
The document is a Visitor Pass Request Template for Shaw Air Force Base, outlining the process for obtaining base access for non-work affiliated guests. The template requires sponsors to submit detailed information about visitors at least 7 duty days in advance, including full names, dates of birth, and other identifying information. Visitors must comply with Real ID Act requirements and bring secondary federal identification. Passes can be issued for up to 30 days, with the potential to extend to 6 months with a command sponsorship letter.
The accompanying federal contract opportunity (Solicitation FA480325Q0022) is for furniture installation services at Shaw Air Force Base. The 25 ATKG requires workstation installation in Buildings 1998, 1999, and 2002, Room 202, with specific configuration requirements including back-to-back, side-to-side, and corner-to-corner arrangements. A mandatory site visit is scheduled for April 14, 2025, at 0900 EST. Base access request submissions are due by April 4, 2025, questions must be submitted by April 21, 2025, and quotes are due on May 5, 2025, at 1400 EST.
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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 .