Attachment 4 CAC Turn-In Receipt.pdf

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DLA Disposition Services - Qatar Excess Property Management Service
Solicitation number
SP4510-26-Q-1027
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About this file

This document is a Government-Issued Contractor Common Access Card (CAC) Turn-In Receipt form that establishes the procedures for contractors to return CACs upon contract completion or employee separation.

The contractor must complete identifying information including the contract number, contractor name, and location. For each CAC being returned, the contractor provides the employee name, issue date, and expiration date. The CAC turn-in process involves three stages of acknowledgment and signature verification. First, the contractor returns the CACs to the Contracting Officer's Representative (COR), who records the turn-in date and both parties sign to acknowledge the transaction. Second, the COR hand-carries the CACs to the nearest Real-Time Automated Personnel Identification System (RAPIDS) office, where the RAPIDS office enters the final turn-in date and both the COR and RAPIDS office representative sign to acknowledge receipt. This form serves as an official record documenting the chain of custody for contractor CACs throughout the turn-in and deactivation process.

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Text version

GOVERNMENT-ISSUED CONTRACTOR COMMON ACCESS CARD (CAC)

TURN-IN RECEIPT

The contractor shall complete the following information:

Contract Number:

Contractor:

Location:

The contractor shall identify the following information for each contractor CAC being turned-in:

Employee Name Issue Date Expiration Date

The contractor shall return the above identified contractor CACs to the Contracting Officer’s Representative (COR) for the contract for turn-in. The COR will enter the turn-in date for the contractor CACs. The contractor shall acknowledge turn-in of the contractor CACs and the COR will acknowledge receipt below:

Turn-in Date to COR Contractor Acknowledgement of Turn-In COR Acknowledgement of Receipt

Signature: Signature:

Print Name: Print Name:

The COR will hand-carry the above identified contractor CACs to the nearest Real-Time Automated Personnel Identification System (RAPIDS) office for turn-in. The RAPIDS office will enter the turn-in date for the contractor CACs. The COR will acknowledge turn-in of the contractor CACs and the RAPIDS office will acknowledge receipt below:

Turn-in Date to RAPIDS Office

COR Acknowledgement of Turn-In RAPIDS Office Acknowledgement of Receipt

Signature: Signature:

Print Name: Print Name:

File details come from the government source that posted it. Updated .