Attachment 2 - KAFB Site Visit Form.pdf
PDF 45 KB Posted
- Attached to
- 250 IS Storage Area Network (SAN)
- Solicitation number
- W50S8G26QOR03
- Issued by
-
Department of the Army National Guard
About this file
This is a Kirtland Air Force Base Short Term Visitor Pass Pre-Notification Form template used to request temporary access to the installation for visitors sponsored by base personnel or organizations.
The form requires completion and submission to either the Gibson Visitor Control Center (VCC) or Truman VCC no earlier than 72 hours prior to visitor arrival. Sponsor information required includes first and last name, full Social Security number, organization, and contact phone number. The sponsoring individual must validate their authority to sponsor visitors, and the VCC will verify form completion accuracy. Visitor information required includes first, middle, and last name; date of birth; driver license state; and U.S. citizenship status (with country of citizenship if applicable). Pass duration cannot exceed 30 days; if a visitor accumulates three or more passes totaling 30 days or more within a 90-day period, both sponsor and visitor must follow procedures to obtain a long-term pass instead. The form requires specification of destination(s) on base, start and end dates, and access times (formatted as military time, e.g., 0730-1630). The sponsor must acknowledge responsibility for visitor actions and compliance with installation instructions, and failure to comply may result in loss of sponsorship privileges. Visitors must report to the designated VCC with a valid government-issued picture identification to obtain the pass. The form includes a Privacy Act statement restricting disclosure to individuals with direct need-to-know and requiring direct delivery to the intended recipient without third-party intermediaries.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Attachment 1.1 - SOO_2026.08.18.pdf | ||
| Attachment 3 - QA_2026.08.18.pdf | ||
| Attachment 1 - SOO Final.pdf | ||
| W50S8G26QOR03 - Combo_Final.pdf |
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Text version
February 2017
KIRTLAND AFB
SHORT TERM VISITOR PASS
PRE-NOTIFICATION FORM
SPONSOR INFORMATION
FIRST NAME
LAST NAME
FULL SSN
ORGANIZATION
CONTACT PHONE
This form must be completed and submitted to the Gibson Visitor Control Center (VCC) or Truman VCC no earlier than 72 hours prior to visitor arrival. Upon form submittal, VCC personnel will validate sponsorship authority and verify the form is completed correctly. The visitor must report to the designated VCC with a valid government issued picture ID card (DL, State ID, etc.) to obtain a pass. This form must be submitted prior to visitor arrival or the sponsor will be required to report to the VCC to obtain a pass for the visitor.
VISITOR INFORMATION (one visitor per form)
FIRST NAME
MIDDLE NAME
LAST NAME
DATE OF BIRTH
DRIVER LICENSE STATE
US CITIZEN YES___ NO___ (If no, list country of citizenship)___________________________
PASS INFORMATION
The duration of this pass cannot exceed 30 days. If the visitor has 3 or more passes totaling 30 days or more within a 90 day period, the sponsor and visitor will be required to follow the procedures to obtain a long term pass.
DESTINATION(S)
START DATE
END DATE
ACCESS TIMES (i.e. 0730-1630)
SPONSOR ACKNOWLEDGMENT
I understand that I am responsible for the actions of all visitors I sponsor onto the installation. I understand that failure to comply with instructions could result in my loss of sponsorship privileges. If you need more information, please contact me at the above number.
DATE SPONSOR SIGNATURE
PRIVACY ACT STATEMENT: The contents of this/these document(s) shall not be disclosed, discussed, or shared with individuals unless they have a direct need-to-know in the performance of their official duties. Deliver this/these document(s) directly to the intended recipient. DO NOT drop off with a third party. ROUTINE: To request and record the issuance of a Visitor when the use of another form is not authorized. Failure to provide any of the information requested may result in non-issuance of the Visitor Pass. This information is necessary for validation of the sponsor’s identity and determination of entry eligibility of the visitor onto Kirtland Air Force Base. Failure to provide this information may result in a non-issuance determination by the issuing authority.
| FIRST NAME: |
| LAST NAME: |
| FULL SSN: |
| ORGANIZATION: |
| CONTACT PHONE: |
| FIRST NAME_2: |
| MIDDLE NAME: |
| LAST NAME_2: |
| DATE OF BIRTH: |
| DRIVER LICENSE STATE: |
| If no list country of citizenship: |
| DESTINATIONS: |
| START DATE: |
| END DATE: |
| ACCESS TIMES ie 07301630: |
| DATE: |
| Check Box1: Off |
File details come from the government source that posted it. Updated .