Attachment 3 Base Pass Access Form.xlsx
XLSX spreadsheet 18 KB Posted
- Attached to
- AFOTEC OL-NN Access Control System Upgrade Federal contract opportunity
- Solicitation number
- FA704623Q0005
- Issued by
- Department of the Air Force
About this file
This document is a base access form for Nellis Air Force Base. The form requires applicants to provide identification information such as full name, Social Security number, date of birth, driver's license details, and company affiliation. It must be signed and dated by the sponsoring individual and submitted for processing at least three to five duty days in advance of required access. Sponsors are responsible for coordinating the status of pass requests and returning expired credentials. The related federal contract opportunity is a solicitation from the Department of the Air Force for the upgrade of the AFOTEC OL-NN access control system.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| FA704623Q0005 Questions.pdf | ||
| Attachment 2 Facility Diagram.pptx | PPTX presentation | |
| Attachment 1 PWS.pdf | ||
| COMBO FA704623Q0005.pdf |
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Text version
Nellis AFB Base Access Form Nellis AFB Mass Pass Request Form
| * Please complete this form in its entirety * | ||
| SPONSOR RANK: | Directions: | Information: |
| SPONSOR FULL NAME | This form needs to be filled out in its entirety. Nellis AFB only accepts REAL IDs or two forms of IDs for base access. If an individual is not a US citizen, please consult the Pass & ID office at (702) 652-8681 for additional information. Please attach additional documents such as Permanent Residency Cards/Employment Authorization Cards for non-U.S. Citizens. | Once the form is completed, email it to 99SFSS5B-PASSANDREGISTRATION@US.AF.MIL if you have an @us.af.mil email or hand carry the form to Bldg. 20, Rm #114. Pass & ID hours of operation are Monday-Friday, 0800-1500. We require at a minimum, 3-5 duty days to process base pass requests. For emergencies, please coordinate with the Operations section at (702) 652-0064. It is the sponsors responsibility to contact us for the status of the pass request. We do not notify sponsors when the pass has been approved. *Sponsors* you must turn in all terminated/expired DBIDS cards (visitor passes) to Pass & ID or the Visitor Control Center. |
| SPONSOR DOD ID# | ||
| SPONSOR UNIT: | ||
| PHONE NUMBER: | ||
| SPONSOR SIGNATURE: | ||
| DATE SIGNED: | ||
| Justification: |
| *THIS FORM MUST BE FILLED OUT BY THE PERSON SIGNING THIS FORM.* | |||||||||
| Company | Last Name | First Name | MI | Full SSN # | D.O.B. | DL State | Driver's License # | Begin/End Dates | Days/Hours |
| Name of Company | Doe | John | J | 000-00-0000 | 1/1/50 | NV | 123456789 | 27JUN22-26JUN23 | M-F 0600-1800 |
&"Times New Roman,Regular"&12CUI
&"Times New Roman,Regular"CUI Controlled by: 99 SFS/S3B Category: PRVCY Dissemination Control: FED ONLY
File details come from the government source that posted it. Updated .