Attachment 3 - BAL Template.docx

DEPARTMENT OF THE AIR FORCE

17TH TRAINING WING (AETC)

GOODFELLOW AIR FORCE BASE TEXAS

FOR OFFICIAL USE ONLY

MEMORANDUM FOR 17 SFS/S5B

FROM: 17 CONS/LGCA

SUBJECT: Request for Base Access Pass

1. The following contractor,[Insert Company Name], has non-ID card holding personnel requiring access to the base for a multi-facility painting site visit.

[Insert Company Name Here] *Electronic Submission only* *Hand written information will not be accepted*

2. Request access to Goodfellow AFB for the following individuals

[Individual Name] *Electronic Submission only* *Hand written information will not be accepted*

Range of dates access is needed

(ex. 1May19 – 10May19) Days of the week and hours access is needed (ex M,W,F 0730 – 1630)

3. I will ensure above personnel are briefed that only properly licensed visitors appropriately covered by vehicle insurance, will operate a vehicle on Goodfellow AFB. Authorized vehicle operators will have in their possession a valid driver’s license, current vehicle registration and a valid insurance certificate at all times when operating a vehicle on the installation.

4. Upon completion or termination of this visit, or expiration of the issued identification pass, I will ensure all passes are returned to the Visitor Control Center.

5. If you have any questions, please contact me at (214) 284-5405.

The information herein is For Official Use Only (FOUO) which must be protected under the Freedom of Information Act of 1966 and Privacy Act of 1974, as amended. Unauthorized disclosure or misuse of this PERSONAL INFORMATION may result in criminal and/or civil penalties

FOR OFFICIAL USE ONLY

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