Attachment 3 - Base Access Request .docx
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- Clinic LED Signs - Goodfellow AFB
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- FA303021Q0028
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DEPARTMENT OF THE AIR FORCE
17TH TRAINING WING (AETC)
GOODFELLOW AIR FORCE BASE TEXAS
CUI
xx Apr 2020
MEMORANDUM FOR 17 SFS/S5
FROM: 17 XXX/XXX (Your office symbol)
Subject: (U) Request Unescorted Base Access Pass
1. (U) I am sponsoring the following Non-ID card holding guest requiring Unescorted access to the base for (state official purpose, i.e. briefing animal safety, construction work, etc..).
| Company | Type of Services | Contract# | Location Visiting | |
| Name of Business What does the business do? N/A if none | Building location |
2. (CUI) The following contractor or guest will need periodic access to deliver lumber to the building. (Just an example…state your particular needs) Name DOB State/DL or ID# Last 4 SSN Date(s) of Entry Days/Hours Public, John Q. 20 Apr 1933 TX 12345678 0000 10 May – 15 Jun 2019 Mon – Thurs/0700-1500
3. (U) I will ensure Mr. Public is 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. (U) Upon completion or termination of this visitor request, I will ensure his pass is returned to the Visitor Control Center.
5. (U) If you have any questions, please contact me (Your name) at (325) 654-1234. (Your contact number)
| FIRST MI. LAST, Major, USAF |
| Commander |
CUI
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